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Doctor insights on: Periodontist Vs Oral Surgeon For Implants

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Need to decide on whom will do dental implants--my prosthodontist, periodontist or oral surgeon. How can a patient reliably choose?

Need to decide on whom will do dental implants--my prosthodontist, periodontist or oral surgeon. How can a patient reliably choose?

All of them: I see it this way: you have an architect, an engineer and contractors, the architect (Prosthodontist or general dentist) will design (the teeth), the engineer (oral surgeon or periodontist) will evaluate the structure based on the plans submitted by the architect and place the implant accordingly the contractor (dental technician) will finish the design. As you see this is a team effort. ...Read more

Dr. Julie Abbott
5 Doctors shared insights

Implant (Definition)

An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is ...Read more


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Should I have my crown lengthening done by an oral surgeon or periodontist? I understand that it can be done by both.

Should I have my crown lengthening done by an oral surgeon or periodontist? I understand that it can be done by both.

Periodontist: Dental crown lengthening involves the removal of gum tissue to expose more of a tooth's structure. A periodontist is a dentist who specializes in the diagnosis and treatment of the gums. In addition to four years of dental school, periodontists also complete at least 3 more years of specialized study in this field. Call your periodontist today ...Read more

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Who may be best at pulling a back molar---a periodontist or an oral surgeon? Both equally good at this?

Who may be best at pulling a back molar---a periodontist or an oral surgeon? Both equally good at this?

Either: An oral surgeon is specifically trained in extractions among other skills but in your case either may be just as appropriate depending on the particulars. If you are more comfortable with one over the other discuss it with them to answer all your questions ...Read more

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Oral Surgeon; Periodontist, etc. #: Is iRaise, a minimally invasive sinus lift procedure, available to patients in the United States, at this time?

Oral Surgeon; Periodontist, etc. #: Is iRaise, a minimally invasive sinus lift procedure, available to patients in the United States, at this time?

Absolutely: A sinus lift operation performed with CAT scan control and knowing the anatomy of the maxillary sinus can be performed not only by oral surgeons, periodontists, but also by may general dentists who have taken multiple courses for this operation. I am surprise at the question because there are thousands of well trained dentists who perform a sinus lift for implant surgery. ...Read more

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If a periodontist cuts into the gum line to examine a bump and says he can extract the tooth, then, how can he sew it up so I can go to oral surgeon?

Tooth extraction: Technically, a periodontist is a dental practitioner and can easy extract the tooth and perform bone augmentation procedures to allow for implant placement. No need for OS. ...Read more

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Dds/dmd: who would have the most experience in rebuilding a buccal wall for a molar---periodontist or oral surgeon or prosthodontist? Need to act now.

Bony or tooth wall?: If it is a buccal tooth wall, a general dentist or a prosthodontist would be preferred. If it is a bony wall, a periodontist would be required for grafting. A molar bony wall is hard to graft. A molar tooth wall is easy to rebuild with an all porcelain crown (lithium disillicate preferred). Make sure correct the occlusion (this is the reason for your fracture of buccal tooth wall or bone loss). ...Read more

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Now I have to choose between the periodontist that did gum grafting to extract 2 teeth or go to an unfamiliar oral surgeon. Whom would you choose?

Now I have to choose between the periodontist that did gum grafting to extract 2 teeth or go to an unfamiliar oral surgeon. Whom would you choose?

Treatment plan: What is your treatment plan? Are you having implants done? These are the variables you need to decide before any teeth are extracted. What is the provisional restoration to be utilized? Speak with your general dentist, have a concrete treatment plan and follow through with whom you feel most comfortable. ...Read more

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What is the difference between a dds, dmd, oral surgeon and which one is the best if I want crowns or implants?

What is the difference between a dds, dmd, oral surgeon and which one is the best if I want crowns or implants?

DDS, DMD, Oral Surg.: Usually the dds or dmd depends on where you went to dental school. Many schools give out a dds and some schools give out a dmd degree. Which is best for crowns and implants depends on their post graduate training. Usually oral surgeons do not place crowns. Many times there is a team approach with general dentist and the oral s. Working together. Sometimes the dds/dmd place implants. Ask questions. ...Read more

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Can I get an implant done with a regular dentist or only by oral surgeon?

Can I get an implant done with a regular dentist or only by oral surgeon?

Training: Pretty much any licensed dentist can place an implant. The question is, as previously brought up, how much training did they get? Even before you have one placed, work with a restorative dentist, who may in some cases, be the surgeon too. You need to know what kind of tooth/ teeth you will be getting prior to having surgery, in addition to the possible need for grafting... ...Read more

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Who mostly do dental implants. Should you go to oral surgeon or gen dentist. What credentials/experience you look for.?

Who mostly do dental implants. Should you go to oral surgeon or gen dentist. What credentials/experience you look for.?

Surgeon: For the best possible diagnosis and treatment see the specialist in reconstruction -- the prosthodontist. This is the person who captains the implant team and ultimtely provides the replacement teeth. See an oral surgeon, periodontist, or prosthodontist who have had formal training in implant placement. Learn about their training and experience. Talk with patients who have had similar treatment. ...Read more

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If you are having jaw implants removed, is it an in office procedure, will you be awake or asleep? Does a general surgeon do this or oral surgeon?

Plastic Surgeon: I would recumbent having implants removed by a plastic surgeon. .. under anesthesia. .. he or she may need to remove the capsule also and potentially need to place a temporary drane.
...Read more

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I have been told by an oral surgeon that I will need a sinus lift for (implant) an upper molar extracted a year ago. Will there be a lot of discomfort?

Sinus lift: This procedure is usually done in preparation for placing an implant
if so it is correct
also it may be used to seal an oral
antral fistula
there will be discomfort usually for about 3 days post op, but it can be dealt with by using proper prescribed pain meds. ...Read more

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Could my dental implants be causing my low grade fever and migratory body aches? I have dental implants which were put in in 2008. One of the crowns recently failed twice so the oral surgeon replaced one of the crowns and laser etched my gums. A week la

Could my dental implants be causing my low grade fever and migratory body aches? I have dental implants which were put in in 2008. One of the crowns recently failed twice so the oral surgeon replaced one of the crowns and laser etched my gums. A week la

Maybe: The question here is whether or not the dental implants are infected. If you don't have pain, mobility, swelling, or pus at the implant site, and there is no evidence of bone loss on the x-ray, then it is unlikely to be the cause of your fever and body aches. I'd have your doc rule out the implants, then see your family doc for more testing to find out what's going on. Keep smiling! ...Read more

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Are bone grafts common with dental implants? I'm in need of a dental implant, and have been told by the oral surgeon that first they'll need to perform a bone graft on my jaw. I was shocked that I would need that. Is this common with implants, or is my ja

Are bone grafts common with dental implants? I'm in need of a dental implant, and have been told by the oral surgeon that first they'll need to perform a bone graft on my jaw. I was shocked that I would need that. Is this common with implants, or is my ja

When: When teeth are removed from the jaw, s initial healing will result in bone filling in the extraction site over the following 6 to 12 months. Because "mother nature" no longer needs bone at the extraction site to support the tooth she will not fully replace the bone to it original levels. After 12 months or so the jaw bone will slowly reabsorb resulting in loss of bone in both the vertical and horizontal dimensions. This bone loss will make it difficult, and even impossible, to place a dental implant. In summary bone grafts are recommended to accelerate the placement of the implant, to create enough bone to place an implant, or to improve the esthetics of the area. ...Read more

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Periodontist who has done multiple graft surgeries wants to do 2 implants but now met an oral/max surgeon who impressed me. How to say no to perio?

Freedom of choice: The important issue to consider here is to have the surgeon and the restorative dentist work together as a team for the best placement of the implant and best function and esthetics of the final restoration. Make sure you are selecting the surgeon for the right reason! Just be open, honest and courteous. ...Read more

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My periodontist, prosthodontist and oral and maxilo surgeon each wish to do my dental implants. How can I possibly choose among them?

Good question: I don't have a prosthodontist in my area but I would expect one to have the best options on restoring the implant. If the implant is in the anterior or esthetics is of paramount concern I refer to a periodontist who will fine tune the gum tissue for the most natural look. If the patient has health issues or the implant surgery has a potential for complications I refer to an oral surgeon. ...Read more

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Who is the most experience by volume of cases completed to do dental implants. Periodontics, Prosthodontics, or oral & Maxillofacial surgeon.

Who is the most experience by volume of cases completed to do dental implants. Periodontics, Prosthodontics, or oral & Maxillofacial surgeon.

Depends: All depends on your location and the specialists there. Most important is the level of expertise for your needs. Volume probably goes to the Oral Surgeons, then Perio, then Prostho. Best bet is to see the Prosthodontist first as they will be the captain of the restorative ship. If the implant is not properly positioned, it may compromise the result. Often a team is in place. Good Luck. ...Read more

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I have had lichen planus since late 90's. Is it normal to have it so long? Still get painful sores on tongue. Should I see dermatology or oral surgeon?

I have had lichen planus since late 90's. Is it normal to have it so long? Still get painful sores on tongue. Should I see dermatology or oral surgeon?

Normal: Lichen planus is one of those maladies that tends to stay with us once it is acquired. It tends to display as both skin lesions and oral lesions...So, it is dealt with by professionals in both specialties.
A dermatologist or a dental professional trained in oral medicine or oral biology can give more information regarding treatment. ...Read more

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How difficult is it to become an oral surgeon?

How difficult is it to become an oral surgeon?

Lots of hard work: After dental or medical school an internship followed by a minimum of four years in residency is r squired to qualify. ...Read more

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Is a dmd an oral surgeon?

Is a dmd an oral surgeon?

Not Necessarily: A dmd is a dental degree and can refer to any general dentist or dental specialist. An oral surgeon has completed a specialty program (additional training beyond the dds/dmd degree). Some oral surgeons also have md degrees which make them dmd md or dds md. ...Read more

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Can an oral surgeon prescribe a cpap?

Can an oral surgeon prescribe a cpap?

Depends: Depends on state licensure. Also probably credentials. Some oral surgeons are both physicians and dentists. Other oral surgeons have only a dental degree. ...Read more

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What makes a dentist different from an oral surgeon?

What makes a dentist different from an oral surgeon?

Surgical experience: A dentist does have some experience in oral surgery procedures. An oral surgeon specializes in removal or teeth, sedation, wisdom teeth, bone grafting, trauma, pathology, placement of dental implants, jaw surgery and tmj. It is your choice on which doctor you want to go with. The more complicated the procedure or treatment it may be worthwhile having an oral surgeon involved. ...Read more

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What should I do if my oral surgeon messed up my teeth?

What should I do if my oral surgeon messed up my teeth?

Talk: Talk with the surgeon. Sometimes things happen beyond the control of the surgeon and nothing was done wrong. However if something was done improperly then the surgeon should make it right. If the surgeon and you do not agree on a solution you may need the help of another surgeon or expert witness to determine if anything was done improperly. ...Read more

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Do I still need an oral surgeon to remove a loose wisdom tooth?

Do I still need an oral surgeon to remove a loose wisdom tooth?

Extraction: There's much more to be considered wending an extraction other than whether a tooth is loose or not. If the tooth is loose it may be infected, or the bone around the tooth (and therefore next to the adjacent tooth) may be damaged. Shape or angulation of the roots, proximity to the lower jaw nerve, may be factors. Wisest thing would be for a wisdom tooth expert to treat you. See an Oral Surgeon ...Read more

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Could a oral surgeon tell that you smoke just by looking at your mouth?

Probably: Tobacco stain all over the back of your teeth. Usually precancerous white patches on y our cheeks and gums are usually a good hint to what you are doing. ...Read more

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My oral surgeon prescribed me 2 different pain killers. One is talwin (pentazocine)?

My oral surgeon prescribed me 2 different pain killers. One is talwin (pentazocine)?

Question?: What was your question?
I don't think you need to different narcotic analgesics. Talwin (pentazocine) is on the weaker end of the spectrum. ...Read more

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The tooth next to my two front tooth is partially impacted, do I need a oral surgeon or can a dentist fix this?

The tooth next to my two front tooth is partially impacted, do I need a oral surgeon or can a dentist fix this?

Impacted cuspid?: The best results are obtained with a team approach involving a general dentist\oral surgeon\orthodontist. They should all consult with each other and you, explaining what they intend to do and why. It should make sense to everyone, especially you. ...Read more

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My oral surgeon suggested to remove upper half of the lower wisdom tooth since it's very close to nerve. Is this safe?

My oral surgeon suggested to remove upper half of the lower wisdom tooth since it's very close to nerve. Is this safe?

Yes, it is.: Your oral surgeon is a expert in determining what is best for your overall dental health and well being. ...Read more

Dr. Greg Rubin
411 Doctors shared insights

Periodontics (Definition)

The branch of dentistry concerned with the diagnosis, treatment, and prevention of diseases of the periodontium. ...Read more