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Medical Forum / General / Dentistry / May 2008Dentist vs Oral Surgeon?
Here is a confusing situation. Who is better qualified to say whether a wisdom tooth should be extracted - an oral surgeon or a dentist? The dentist says it should be extracted soon, the oral surgeon says it looks fine. > Here is a confusing situation. Who is better qualified to say whether a > wisdom tooth should be extracted - an oral surgeon or a dentist? The dentist > says it should be extracted soon, the oral surgeon says it looks fine. Trolling again? First, they are both dentists. Second, the *general* dentist may have a better idea of decay potential and even periodontal problems relating to your case. The OS is good for looking for current pathology, but may not have watched as many wisdom teeth day in and day out over the course of a lifetime. Tough call, Steve > > Here is a confusing situation. Who is better qualified to say whether a > > wisdom tooth should be extracted - an oral surgeon or a dentist? The dentist [quoted text clipped - 13 lines] > Tough call, > Steve Yeah, they are both "dentists"... but for each kind of operation there are more qualified "dentists" such as "orthodontist(braces and other)", "oral surgeon(surgery)", "periodontist(gums)", "endodontist(root canals)", "prosthododontist (appliances)"... so they all know more in their specialty than simple general dentist. > Yeah, they are both "dentists"... but for each kind of operation there > are more qualified "dentists" such as "orthodontist(braces and > other)", "oral surgeon(surgery)", "periodontist(gums)", > "endodontist(root canals)", "prosthododontist (appliances)"... so they > all know more in their specialty than simple general dentist. Who're ya callin' "simple"? Steve ;-)  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Yeah, they are both "dentists"... but for each kind of operation there >> are more qualified "dentists" such as "orthodontist(braces and [quoted text clipped - 5 lines] > >Steve ;-) Does jackanov, er meant wankanov, oh nevermind... actually have any dental degree ? Doubtful, very doubtful. >so they all know more in their specialty than simple general dentist. Oh, really ? Where do you get your "information" yakov ? Goofle, Yuhoo ? A master dentist can 'operate' any of the named speciaties. Some generalist do not wish to perform certain procedures. That is their right and option, and is the real reason that there are 'specialists' in dentistry. Patients in my practice are rarely refered to any of your above named specialties except for orthodontics. I just don't like to bend wires, but have done many ortho cases. My personal interest is Endodontics, but readily treat all patients needs in all the above named specialties. Am a master of my craft and can provide treatment to my patients at a level usually above, and nominally equal to any specialty service that is available in my geographic area. Ask Amatus if I have any *skills*. As far as 'simple', I call *you* a *simpleton*. You have no clue about dental treatment in the real world. Where did you get your dental degree 'jakinov' ? Super Wal-Mart ? He might be from Philly Signature/ Amatus / > >>> Yeah, they are both "dentists"... but for each kind of operation there [quoted text clipped - 37 lines] > > Super Wal-Mart ? > Who're ya callin' "simple"? Steve, I mean "simple" dentist as word, as not "ortho" dontist = dentist and so on... > Does jackanov, er meant wankanov, oh nevermind... Dear Dr. Iamsostupidthatcantrememberanyname, I am so pleased that I am talking with so *skilled* person as you, and I surely will ask Amatus about it and also about your vision and hands disorders, which do not let you to write names well... I see your *degree* don't learned you to respect people... pity And you are very right -- I have no dental degree. But I have a practice to talk about things I know. I have a degree in business and administration and I work in dental industry for a long time. Of course my English isn't excellent... I hope *a master of ... craft* will be also a master of respectfulness. >> Who're ya callin' "simple"? > [quoted text clipped - 17 lines] > I hope *a master of ... craft* will be also a master of > respectfulness. IOW, you want the whole package. I find that's so hard to find--for what I'm paying them. Steve >> And you are very right -- I have no dental degree. But I have a >> practice to talk about things I know. I have a degree in business and >> administration and I work in dental industry for a long time. No doubt your exhaustive 'experience' in the dental field is as a patient. >> Of course my English isn't excellent... You don't say. >> I hope *a master of ... craft* will be also a master of >> respectfulness. Hold your breath there. BRB. >IOW, you want the whole package. I find that's so hard to find--for >what I'm paying them. > >Steve Yep, sirwankalot got what he paid for. The question was who is better qualified to say whether a wisdom tooth needs to be extracted. Not who is better qualified to do the extraction. I stand by my original comments. Steve >>>Here is a confusing situation. Who is better qualified to say whether a >>>wisdom tooth should be extracted - an oral surgeon or a dentist? The dentist [quoted text clipped - 19 lines] > "endodontist(root canals)", "prosthododontist (appliances)"... so they > all know more in their specialty than simple general dentist. >> Here is a confusing situation. Who is better qualified to say whether a >> wisdom tooth should be extracted - an oral surgeon or a dentist? The dentist >> says it should be extracted soon, the oral surgeon says it looks fine. > >Trolling again? Yep he's trolling again. >First, they are both dentists. And Robert is not... >Steve >> Here is a confusing situation. Who is better qualified to say whether a >> wisdom tooth should be extracted - an oral surgeon or a dentist? The [quoted text clipped - 14 lines] > Tough call, > Steve My call is that either a generalist or an oral surgeon should be equally qualified to say whether retaining a 3rd molar is likely to cause problems. The operator is the one who will make the judgment as to whether the cure is likely to be worse than the disease. Obviously, there are general dentists, and possibly even oral surgeons who don't know what the heck they're talking about. But since many generalists (including me) don't remove impactions, I leave the judgment as to whether to extract to the oral surgeon. Of course, that still leaves me with the choice whether to refer for evaluation or not. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > My call is that either a generalist or an oral surgeon should be equally > qualified to say whether retaining a 3rd molar is likely to cause [quoted text clipped - 5 lines] > as to whether to extract to the oral surgeon. Of course, that still > leaves me with the choice whether to refer for evaluation or not. Thanks. The wisdom tooth is not impacted. Honestly, I don't know exactly why the generalist is saying they'll need to come out soon. I guess he wants to save me what he thinks will be problems down the road. Incidentally, what do oral surgeons do that generalists don't do? I mean, what would you go to an OS for that you just simply would not go to a dentist for? > Thanks. The wisdom tooth is not impacted. Honestly, I don't know exactly why > the generalist is saying they'll need to come out soon. I guess he wants to [quoted text clipped - 3 lines] > what would you go to an OS for that you just simply would not go to a > dentist for? As Newbie says, a generalist may legally perform any and all of the procedures of any specialist. The catch is that he/she will be held legally to the standard of what a prudent specialist in the particular area of dentistry would do. I'm sure there are generalists that do it all. In fact, in more rural areas I'm sure this is the rule rather than the exception. But all of the specialties have advanced, and it takes significant effort to stay current with standard practice in the various specialties. I have every reason to believe that Newbie does endo as well as many and maybe most endodontists. There is no arcane knowledge not open to the generalist seeking advanced training. I have chosen to let my extraction skills decline. This is a practical matter, as I don't have that many extractions in my practice, so I have chosen to limit the surgical extractions to those where I don't anticipate doing a lot of cutting and sectioning. Once in a while I'm wrong about a tooth, and even then I usually manage one way or another. But the judgement to refer is one every generalist must make for him/herself. I have tons of terrific specialists within a 10 minute drive from my office. This means I don't have to prove my manhood by doing procedures (esp. surgical) that I'd prefer not to, and concentrate on restorative and prosthetic dentistry. Steve > him/herself. I have tons of terrific specialists within a 10 minute drive > from my office. This means I don't have to prove my manhood by doing > procedures (esp. surgical) that I'd prefer not to, and concentrate on > restorative and prosthetic dentistry. Thanks for the thoughtful analysis. I'd say that your patients are damn lucky. I think both the OS and the (new) dentist are great, but since I can have the teeth taken out easier than I can have them put back in, I'll go with the OS for now :) This particular OS is both an MD and a DDS, although that might be the norm. |
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