I'll field this one. The more procedures that GP's perform that are traditionally bread and butter for a specialist, the more a specialist is forced to hustle for business. The new model for virtually all specialties is to hustle for a corporate dental office. You can't afford the luxury of complex and interesting hobby procedures/cases because 1. they never reimburse well and 2. you're too busy hustling for those bread and butter cases just to pay off your loans. The more invisalign/wisdom teeth/molar endo/implants that GP's do, the harder specialists have to focus on competing with them for the same procedure since those are what pays the bills for us. I'll use oral surgeons as an example. How can an OMFS take the time to do orthognathic/trauma cases (pathetically low reimbursement) when they don't have that steady stream of 3rd molars/implants coming in the door to pay the bills? So you end up hustling for a corporation. Its the slow degradation of the dental profession, and corporations are majorly to blame.