Best Endo Residency that has a strong focus on Implants ?! Does it Exist?

[DoctorSL]

Hi Everyone,

Was wondering if anyone can help me out with this. I'm a general Dentist who really likes Endo and Implants. Was debating going back to school for Endo but I don't want to give up placing implants. So here are a few questions for everyone:
1) Are there Endo programs that also focus on Implant placement and which ones are they ?
2) Are Endodontists going to be placing Implants in the future ?

I really appreciate the answers to these questions in advance of your responses. My next step is to get on the phone with every program and ask them about their curriculum but I would trust responses from actual people in the residency or ppl whose friends are there more. Thanks again.

DocSL

---

Members don't see this ad.

 

[Regmata]

Endo residents at Buffalo have the option to place implants if they desire, but I don't think the program emphasizes implant placement per se.

 

[NoMoScalin]

Endodontists are now placing implants? I guess pretty soon the pediatric dentists are going to be placing implants. So much for surgical training. I thought endo guys were the ones trying to SAVE teeth?

 

[wetzel]

I know they are teaching implant placement at Einstein in Philadelphia. A hard residency to get into but they are using CBCt and placing implants as endo residents

 

[KlingonDentist]

even orthodontists are placing implants! (I'm not kidding by the way.)😀

 

[og2]

Endodontists are now placing implants? I guess pretty soon the pediatric dentists are going to be placing implants. So much for surgical training. I thought endo guys were the ones trying to SAVE teeth?

i completely agree with this sentiment and in many ways find it absurd that endodontists are trying to get a hold of the implant market. it's totally counterintuitive to the reason why the endodontic specialty exists.

 

[charlestweed]

.....I thought endo guys were the ones trying to SAVE teeth?

I think most GPs think like this poster….they send patients to endo to save teeth. If the tooth could not be saved endodontically and the patient wanted to have dental implant, the patient's GP would then refer this case to his/her trusted perio (or OS) for implant palcement…instead of letting that same endodontist placing the implant.

It is pointless to learn to place a lot of implants at an endo program and not being able to get referrals from the GPs. The whole point of specializing is to get the referrals from the GPs. People don't just go straight an endo/OMFS/perio specialty office to get dental implants.

 

[IHeartEndo]

As a GP, if one of my patients needed an implant, an endodontist would be the last person I'd trust to place the implant. Perio/OS for me.

What's next? Endo programs teaching their residents how to perform sinus lifts and block grafts?

Stick with root canals.

 

[sleeplessinsf]

NYU and Loma Linda have more focused implants curriculum incorporated.. but even so it's still primarily endondontics.

 

[Simiam]

Let's say an Endodontist is fully trained in placing implants. They are referred a patient, but RCT is not likely to succeed, so the patient wants an implant. The referring GP does not place implants. Would it not be more time efficient for the patient to just remain at the Endodontists' office for the procedure? Rather than going to yet another specialist? Why is it that Perio/OS seems to think they understand implants better than anyone? I really don't understand, because if that were to be the argument it should be solely for the OMFS, not the Periodontist. Periodontist are gum guys as much as Endo are RCT guys... Please explain Why or why not, because it seems logical to me. Either have the patient stay at the endo office, or refer to an OMFS.

 

[charlestweed]

Let's say an Endodontist is fully trained in placing implants. They are referred a patient, but RCT is not likely to succeed, so the patient wants an implant. The referring GP does not place implants. Would it not be more time efficient for the patient to just remain at the Endodontists' office for the procedure? Rather than going to yet another specialist? Why is it that Perio/OS seems to think they understand implants better than anyone? I really don't understand, because if that were to be the argument it should be solely for the OMFS, not the Periodontist. Periodontist are gum guys as much as Endo are RCT guys... Please explain Why or why not, because it seems logical to me. Either have the patient stay at the endo office, or refer to an OMFS.

The endodontist still has to send the pt back to the referral GP for extracting that hopeless tooth (extraction is the GP's job...not the endodontist'sjob). And it is the GP who will decide which specialist to send the pt to for implant placement.

There is no problem for an endodontist to place implants if he/she is fully trained and can handle complications. The problem is the majority of the GPs don’t know that the endodontists are “implant specialists”….most of them refer implant cases to perio and OS.

 

[KlingonDentist]

at one point GPs referred only to OS for implants in the early 80s. Will a slow change in endo come about in the next 2 decades accepting the fact that endo will also do implants?
As I see it, more GPs will do implants themselves in the future. The smart endo will refer the pt back to GPs for everything else unless the referring dentist prefers the endo to do the implants. And the smart endo will be ready and trained to place implants WHEN REQUESTED by the GP.

Anybody can sink a screw into the jaw bone even a caveman can do it. But to do implants RIGHT there is a steep learning curve in surgical terms and prosthetic terms. Even some OS and perio screw up in implants because they don't understand the prosthetic planning part.

As an aside Prosthodontists are placing implants also. There will never be a specialty in implants because everyone is doing it.

 

[mike3kgt]

As an aside Prosthodontists are placing implants also. There will never be a specialty in implants because everyone is doing it.

Prosthodontists and Oral Surgeons were the first to place implants. Perio came later. Endo came much later. Any are fully capable of placing an adequate dental implant... all can have surgical-based practices if desired.

The best person to place implants is in the restorative-driven practitioner's hands... one that is skilled in both surgical and restorative and plans on taking ownership of both surgical and restorative sequelae... i.e. the GP or the Prosthodontist.

As a restorative dentist, I prefer to share the wealth and the responsibility... by sending to my local perio / os. I would have reservations on sending implant cases to an endodontist unless proven otherwise or my local market dictates so. I would be quite upset if a patient came back from a referral for RCT with an implant in its place. To give the Endo guys some credit, I would also be upset if I sent a patient for SRP and they came back with 6 implants and a note "please restore." But hey, if the implants are ready to go and all I have to do is snap an impression coping on and send to lab... easy $$.

 

[Guy Smiley]

Prosthodontists and Oral Surgeons were the first to place implants. Perio came later. Endo came much later. Any are fully capable of placing an adequate dental implant... all can have surgical-based practices if desired.

The best person to place implants is in the restorative-driven practitioner's hands... one that is skilled in both surgical and restorative and plans on taking ownership of both surgical and restorative sequelae... i.e. the GP or the Prosthodontist.

As a restorative dentist, I prefer to share the wealth and the responsibility... by sending to my local perio / os. I would have reservations on sending implant cases to an endodontist unless proven otherwise or my local market dictates so. I would be quite upset if a patient came back from a referral for RCT with an implant in its place. To give the Endo guys some credit, I would also be upset if I sent a patient for SRP and they came back with 6 implants and a note "please restore." But hey, if the implants are ready to go and all I have to do is snap an impression coping on and send to lab... easy $$.

This is the key, and there are both perios and OMFS who are also restorative driven. I know an OMFS in NC who has taken the Misch restorative implant course and sees all his implant patients once a year for recall/maintainence of the implant and restoration.

 

[TiggerJSA]

Hi Everyone,

Was wondering if anyone can help me out with this. I'm a general Dentist who really likes Endo and Implants. Was debating going back to school for Endo but I don't want to give up placing implants. So here are a few questions for everyone:
1) Are there Endo programs that also focus on Implant placement and which ones are they ?
2) Are Endodontists going to be placing Implants in the future ?

I really appreciate the answers to these questions in advance of your responses. My next step is to get on the phone with every program and ask them about their curriculum but I would trust responses from actual people in the residency or ppl whose friends are there more. Thanks again.

DocSL

You should only refer implants to your trusted oral surgeon... specifically a hairy, hiccuping one😎😀... Good luck m'brotha!!

 

[ChillinVillain]

word

 

[charlestweed]

The best person to place implants is in the restorative-driven practitioner's hands... one that is skilled in both surgical and restorative and plans on taking ownership of both surgical and restorative sequelae... i.e. the GP or the Prosthodontist.

How often do you find a great clinician like Dr. Carl Misch in your area? Extremely rare. In my opinion, it is better to have 2 separate experts (ie an OS and a prosth). The doctor who does one thing thousands of times is usually better than the doctor who does many different procedures and does them only a few times.
In order to get more cases (referrals from GPs) and gain more experience, it is better to limit your practice to the surgical implant placement. An average GP office gets 4-5 implants per month. A specialist (perio or OMFS) can get 30+ implants a month if he/she has 7-8 referring GPs.