Do pediatric dentists typically do surgery?

[wellwell]

Do pediatric dentists typically do surgery? I am interested in this but I am not real big on the surgery aspect. I would rather focus more on the other side of dentistry. (i.e. hygiene, pediatric teeth growth, etc.)

Thanks!

(I'm prepared to be blasted for this, but I did search 🙂)

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[wellwell]

I posted this in the Pre-Dent forum but I think you guys can better answer this for me. Do pedos do a lot of surgery? I'm not really all that into surgery and I would prefer to do more of the "other side" of pedodontics. (i.e. hygiene, tooth growth, etc.)

 

[ItsGavinC]

I posted this in the Pre-Dent forum but I think you guys can better answer this for me. Do pedos do a lot of surgery? I'm not really all that into surgery and I would prefer to do more of the "other side" of pedodontics. (i.e. hygiene, tooth growth, etc.)

I'm not sure what you are asking (or more specifically what your definition of "surgery" is). What surgeries do you think a pediatric dentist would do?

We certainly extract teeth, although many complicated ones are referred to OMFS, along with invasive surgical procedures. Pediatric dentistry is largely surgery-free, although we do complete full-mouth rehabilitations in the OR.

 

[wellwell]

I'm not sure what you are asking (or more specifically what your definition of "surgery" is). What surgeries do you think a pediatric dentist would do?

We certainly extract teeth, although many complicated ones are referred to OMFS, along with invasive surgical procedures. Pediatric dentistry is largely surgery-free, although we do complete full-mouth rehabilitations in the OR.

You answered perfectly. I wasn't referring to extractions, just the more "complicated" (invasive) surgical procedures.

Thanks!

 

[rose786]

The ped dentist I work for does surgeries. He schedules them all for one day a month and brings in an anesthesiologt to help. I don't know if this is normal though.

 

[armorshell]

The ped dentist I work for does surgeries. He schedules them all for one day a month and brings in an anesthesiologt to help. I don't know if this is normal though.

Surgeries such as?

 

[OceanDMD]

What possible surgeries would be in the scope of a pediatric practice? I assume cleft lip/palate would be referred, most kids dont have impacted thirds😉, implants are not placed during development. Please enlighten me about pediatric surgeries not referred to the omfs.

 

[Awara]

What possible surgeries would be in the scope of a pediatric practice? I assume cleft lip/palate would be referred, most kids dont have impacted thirds😉, implants are not placed during development. Please enlighten me about pediatric surgeries not referred to the omfs.

May be surgical extractions when doing full mouth extraction on a kID who is living, breathing, drinking and eating sugar 24/7. I just assisted yesterday two 2nd year residents on doing a full mouth extractions on a 4 year old with root tips etc. with in OR with general anesthesia. I guess this is not very common at all and can be referred to the oral surgeon. Thats the only thing surgically I have seen pedo people doing at my school.

 

[armorshell]

Remember we're talking about a pre-dents understanding of surgery though. That could mean anything from a pulpectomy (Ewww, BLOOD!) to they think pediatric dentists do baby nip/tucks or something.

 

[eh384]

I know a lot of peds that do frenectomies. I plan to do them after my residency as well. They kind of count as surgery, right👍.

 

[rose786]

Surgeries such as?

Exposures, extractions, and some things that require sedation (don't know what? I wasn't there) . Do these not "count" or something? What's your definition of surgery? 😕

I just assumed anesthesiologist = surgery.

 

[capisce?]

Surgeries such as?

Impacted supernumerary removal
Frenectomies
Gingivectomies
Odontoma removal

It all depends on comfort zone and experience.

By strict definition a full mouth rehab under GA is qualified as 'surgery', but probably not what the OP was referring to.

 

[armorshell]

Impacted supernumerary removal
Frenectomies
Gingivectomies
Odontoma removal

It all depends on comfort zone and experience.

By strict definition a full mouth rehab under GA is qualified as 'surgery', but probably not what the OP was referring to.

I was just trying ot get a better idea of what a pre-dent considers "surgery" to be.

 

[rdhdds1]

Do pediatric dentists typically do surgery? I am interested in this but I am not real big on the surgery aspect. I would rather focus more on the other side of dentistry. (i.e. hygiene, pediatric teeth growth, etc.)

Thanks!

(I'm prepared to be blasted for this, but I did search 🙂)

Okay. No need to be blasted but look. Pediatric dentists work mainly on kids. From oh let's say 0-25 yrs of age. Fair enough. When it comes to surgery they do not usually do surgical procedures on thier patients. If surgery does need to be conducted they are usually referred to an oral surgeon who will work in conjunction with the pediatric dentist to ensure the continuity of care.

Pediatric dentists do simple extractions, pulpotomies, fillings and the like. That is mainly their bread and butter besides hygiene.

 

[aphistis]

I hear pediatric ADHP's do their own primary cleft repairs in Minnesota.

 

[DGDDS]

The pediatric dentist I worked for had operation room privileges at the local hospital on Fridays so she could work on patients who had special needs, were extremely too difficult, or had extensive work to be done under sedation. I don't think this is the norm though as many refer them to oral surgeons if they need something like trauma fixed or wisdom teeth extracted.

 

[rdhdds1]

I hear pediatric ADHP's do their own primary cleft repairs in Minnesota.

The ADHP or Advanced Dental Hygiene Practitioner is not educated well enough to handle such a procedure. The ADHP is essentially a nurse practitioner in the dental field. The scope of practice is limited to simple (non-surgical) extractions, script writing (except narcotics), legal diagnosis responsibility, referral capability without being supervised, simple restorations (i.e fillings) along with all other hygiene related duties.

The state of MN passed the ADHP into law, yet there are no programs up and running to produce them. It may take a couple more years to get one.

A cleft palate and/or lip combo is normally referred to a maxillofacial surgeon who works in conjunction with a restorative dentist and possibly a plastic surgeon to accomplish whatever goals are set forth.

To learn more about the ADHP and the state of MN bill that was inacted visit:
www.adha.org

 

[aphistis]

The ADHP or Advanced Dental Hygiene Practitioner is not educated well enough to handle such a procedure. The ADHP is essentially a nurse practitioner in the dental field. The scope of practice is limited to simple (non-surgical) extractions, script writing (except narcotics), legal diagnosis responsibility, referral capability without being supervised, simple restorations (i.e fillings) along with all other hygiene related duties.

The state of MN passed the ADHP into law, yet there are no programs up and running to produce them. It may take a couple more years to get one.

A cleft palate and/or lip combo is normally referred to a maxillofacial surgeon who works in conjunction with a restorative dentist and possibly a plastic surgeon to accomplish whatever goals are set forth.

To learn more about the ADHP and the state of MN bill that was inacted visit:
www.adha.org

Thank you for the correction. In case anyone else doesn't realize I had to be deadpanning to suggest undertrained restorative hygienists could perform craniofacial surgery, I was not being serious.

 

[OceanDMD]

Thank you for the correction. In case anyone else doesn't realize I had to be deadpanning to suggest undertrained restorative hygienists could perform craniofacial surgery, I was not being serious.

You were? 😉 It sounds like if we have any ADHP questions we can refer to rdhdds1 (which I cant figure out the name,dentist or hygienist). I think i may start referring my simple extractions to ADHP for treatment. You never know what you can get into, and now that they have the authority and are held to the standard of a dentist, let them deal with it. Sorry about the small hijack, this adhp bs is just crazy.

 

[Squished Rat]

The ADHP or Advanced Dental Hygiene Practitioner is not educated well enough to handle such a procedure. The ADHP is essentially a nurse practitioner in the dental field. The scope of practice is limited to simple (non-surgical) extractions, script writing (except narcotics), legal diagnosis responsibility, referral capability without being supervised, simple restorations (i.e fillings) along with all other hygiene related duties.

The state of MN passed the ADHP into law, yet there are no programs up and running to produce them. It may take a couple more years to get one.

A cleft palate and/or lip combo is normally referred to a maxillofacial surgeon who works in conjunction with a restorative dentist and possibly a plastic surgeon to accomplish whatever goals are set forth.

To learn more about the ADHP and the state of MN bill that was inacted visit:
www.adha.org

Who is going to want to get an extraction from someone who can't RX them pain meds afterwards?