Best perio programs for implants & thirds. Is there such a thing?

[wannagiveup]

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Interesting view point. I seem to remember during the financial crisis 2008-2009 that many private dental offices were going bankrupt and the number of DSOs owned by private equity firms were increasing. This new crisis just signals another buying spree for those with deep pockets. I predict you will see MORE DSOs after this crisis, not less.

I agree that there will be an increase in DSOs once this is all over. This means fewer referral sources for private practice specialists since DSOs hire their own in-house specialists.

 

[P7898]

Interesting view point. I seem to remember during the financial crisis 2008-2009 that many private dental offices were going bankrupt and the number of DSOs owned by private equity firms were increasing. This new crisis just signals another buying spree for those with deep pockets. I predict you will see MORE DSOs after this crisis, not less.

I am not going to debate about this because I have some work to do but look at the difference as to why the financial crisis happened in 2008 with the housing market and how real estate prices plummeted where it created an optimal environment for DSO's. If you look at the recession now, everything is bad because this effects everyone. 2008 was mostly middle class being effected. Just because there is a fire, doesn't mean it is bad, if there is a fire in the woods, someone is making food or the woods is burning down. I encourage you to look into it!

 

[Faux]

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[Molar Whisperer]

WHAAAAAAAAAT???? Noooooooo.......
The surgical aspect is most important! Who cares about restorative?

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At my last DMO, we had a OS (not OMFS) that did the above. We also had a perio that teaches implant placement at the dental school. At my school, it seemed that OS or OMFS are like butchers...they lacerate the maxillary arteries, obliterate the max tuberosity, ef up the sinuses, We had a part-time OS instructor (who was a classmate's dad) that ripped the max first molar and tuberosity out exposing the blue balloon like sinus. I was observing of course.

 

[ChewyDrop]

DDS: Doctor Dental (Surgeon) 😉

 

[iknalosdds]

Periodontists don't extract third molars as a common treatment modality they offer, and I do not believe that is even in the scope of their training or specialization. If you want to do perio and oral surgery then obtain advanced training as a general dentist. I do lots of implants and lots of impacted third molars as a general dentist, but I had additional residency level training so I am very comfortable doing what I do, but have the knowledge to know when I need to refer patients to perio/OS.

Was it a GPR? What is your opinion about GPR VS AEGD?

 

[DocMon16]

People really need to put their egos aside here. OMFS is trained in particular procedures and Perio is trained in particular procedures, pretty obvious. I don't know many periodontists routinely removing impacted third molars myself, but I'm sure there are some. I am sure there are OMFS that do a connective tissue grafts and things that perio does...but I don't know many OMFS doing them routinely and I know quite a few. As long as you are properly trained and feel comfortable doing the procedures AND can handle complications then so be it. I have seen in residency more issues with not being able to handle the complications from people performing procedures that simply should not be. Ill leave it there...and I'm being as neutral about this as possible. Remember, we need to support one another and encourage one another as we are all providing services in with the best interest in the patient. It doesn't matter if you are a specialist or not, one can burn bridges very easily.

 

[ToothJockey]

At my last DMO, we had a OS (not OMFS) that did the above. We also had a perio that teaches implant placement at the dental school. At my school, it seemed that OS or OMFS are like butchers...they lacerate the maxillary arteries, obliterate the max tuberosity, ef up the sinuses, We had a part-time OS instructor (who was a classmate's dad) that ripped the max first molar and tuberosity out exposing the blue balloon like sinus. I was observing of course.

In the US, aren't OS and OMFS the same thing?

I've heard in other countries OS and OMFS are separated, where OS only does dentoalveolar and OMFS does full facial surgeries, but I've personally never heard of that here.

 

[Molar Whisperer]

I always though OMFS is MD & DDS that can do maxillofacial surgery while OS is just DDS...

 

[DocMon16]

Not in the USA! OMFS is either a 4 or 6 year track. 6 year track is the 4 year certificate program with obtaining your MD (medical school tracks vary amongst programs). The 4 year track is simply just that! At the end of either track you are an Oral and Maxillofacial Surgeon.

 

[ToothJockey]

Not in the USA! OMFS is either a 4 or 6 year track. 6 year track is the 4 year certificate program with obtaining your MD (medical school tracks vary amongst programs). The 4 year track is simply just that! At the end of either track you are an Oral and Maxillofacial Surgeon.

For anyone interested, here is a neat study on the training pathways of OMFS in various countries

Training Pathways in Oral and Maxillofacial Surgery Across the Globe—A Mini Review - PMC

Due to historical reasons, many different training pathways exist across countries that lead to a degree in oral and maxillofacial surgery. Although it is generally accepted to be a specialty of dentistry, the complex nature of procedures being ...

www.ncbi.nlm.nih.gov

Honestly OMFS is a very unique specialty, it's one of a kind. I personally don't know of any other specialty that combines dentistry/medicine/surgery all into one specialty, that's why I find it really cool!

 

[Molar Whisperer]

Not in the USA! OMFS is either a 4 or 6 year track. 6 year track is the 4 year certificate program with obtaining your MD (medical school tracks vary amongst programs). The 4 year track is simply just that! At the end of either track you are an Oral and Maxillofacial Surgeon.

I'm so sorry. The DMOs and DSOs OMFS always tell me they don't do those procedures. Thanks for the pitchfork!!!! I needed it.

 

[DocMon16]

For anyone interested, here is a neat study on the training pathways of OMFS in various countries

Training Pathways in Oral and Maxillofacial Surgery Across the Globe—A Mini Review - PMC

Due to historical reasons, many different training pathways exist across countries that lead to a degree in oral and maxillofacial surgery. Although it is generally accepted to be a specialty of dentistry, the complex nature of procedures being ...

www.ncbi.nlm.nih.gov

Honestly OMFS is a very unique specialty, it's one of a kind. I personally don't know of any other specialty that combines dentistry/medicine/surgery all into one specialty, that's why I find it really cool!

Couldn't agree more. I find that many of the other surgical specialities say the same thing about our field, they think its pretty wild but very very interesting. #bestfieldever lol

 

[DocMon16]

I'm so sorry. The DMOs and DSOs OMFS always tell me they don't do those procedures. Thanks for the pitchfork!!!! I needed it.

Hey no pitchfork at all! In other countries oral surgeons and facial surgeons are different specialties for sure!

 

[katthenomad]

He’s wrong and we do a lot of things better than them actually, that’s why they constantly bash us.

OS just jams implants in anywhere and everyone is finding out.

The GPs that I work for always refer implants out to Perio because according to them, Periodontists handle soft tissue and esthetic concerns more effectively. The same bosses refer 3rd molars and complex trauma to OS. I'm in the vicinity of Monterey, CA.