Does anyone know which perio programs teach third molar/dentoalveolar surgery?

[yssuprebbur]

Future perio applicant here; does anyone know which programs teach dentoalveolar surgery and third molar extractions? I really like these procedures but don't want to go into OMFS.

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[ISU_Steve]

Future perio applicant here; does anyone know which programs teach dentoalveolar surgery and third molar extractions? I really like these procedures but don't want to go into OMFS.

CONSIDER YOURSELF WARNED

 

[yssuprebbur]

CONSIDER YOURSELF WARNED

Why would it get ugly - it's a simple question. I like doing dentoalveolar and third molar surgery and placing implants, but don't want to have emergencies or take trauma call. Perio seems like a good fit in this regard.

Any input would be appreciated.

 

[ISU_Steve]

You'll see.....

 

[omfsres]

Future perio applicant here; does anyone know which programs teach dentoalveolar surgery and third molar extractions? I really like these procedures but don't want to go into OMFS.

RAAHHHHHHHHHHH!!!

 

[aphistis]

Why would it get ugly - it's a simple question. I like doing dentoalveolar and third molar surgery and placing implants, but don't want to have emergencies or take trauma call. Perio seems like a good fit in this regard.

Any input would be appreciated.

Gee, I dunno, maybe it's because people are going to have a pretty hard time believing you're not a troll once they read your name backwards.

 

[Energon]

I dont see the point of being interested in doing third molar extractions as a periodontist. You will be busy doing perio surgery and implants. Third molar extractions are really not worth including in your scope of practice given the risk that comes along with those procedures.
Now, if you are one of those guys that really likes OS but wants to do perio to avoid an over demanding resedency then you are being a pu$$y about it (rubber or otherwise).
YOu can always do an OS residency and then go into private practice where you dont take call or do trauma and just stick to out- patient dento alveolar surgery. Otherwise go into perio, do perio surgery and leave third molar extractions to OS people.

 

[Periogod]

Damn right. I don't know what you mean by dentalveloar surgery but we do sinus lifts, block grafts, etc... (this is more than enough to keep us busy). Thirds, in my mind, are the realm of OMS. Why would we do those kind of things when you really can't support yourself legally if a paresthesia (or worse) occurs. If you want to do perio, stick with implants, mucogingival surgery, and disease cases and leave the 3rds to the oral surgeon.

I dont see the point of being interested in doing third molar extractions as a periodontist. You will be busy doing perio surgery and implants. Third molar extractions are really not worth including in your scope of practice given the risk that comes along with those procedures.
Now, if you are one of those guys that really likes OS but wants to do perio to avoid an over demanding resedency then you are being a pu$$y about it (rubber or otherwise).
YOu can always do an OS residency and then go into private practice where you dont take call or do trauma and just stick to out- patient dento alveolar surgery. Otherwise go into perio, do perio surgery and leave third molar extractions to OS people.

 

[drhobie7]

Consider this: Would a GP refer 3rd molar extractions to a periodontist, even if there were a handfull of programs that taught it? I can't see why they would.

 

[gumgardener2009]

Consider this: Would a GP refer 3rd molar extractions to a periodontist, even if there were a handfull of programs that taught it? I can't see why they would.

Same reason why GPs refer their implant cases to periodontists--better soft tissue management!

 

[ISU_Steve]

So....according to your thinking, we should send cardiac surgery patients to a plastic surgeon because that way they'll have less of a scar? You're so funny, Gumgardner, sometimes I even forget to laugh.

I also would like to apologize to any plastic surgeons out there for comparing the gardening work of periodontics to what they do for a living.

 

[Energon]

I have often heard periodontists (and residents) claim that they manage the tissue better in implant surgeries, but given the fact that oral mucosa is so resilient in general that I really wonder if it makes a difference. I thought Implants usually fail due to lack of osseointegration. So it really shouldnt matter who places the implants provided they have the appropriate training. I wonder what some of your thoughts are.

disclaimer: this post is in no way intended to start a pissing contest.

 

[gumgardener2009]

So....according to your thinking, we should send cardiac surgery patients to a plastic surgeon because that way they'll have less of a scar? You're so funny, Gumgardner, sometimes I even forget to laugh.

I also would like to apologize to any plastic surgeons out there for comparing the gardening work of periodontics to what they do for a living.

**** Steve, you're such a bright predent. You seem to know everything because you hang out at dentaltown and pick up on the lingo. Problem is you're too dang serious, you wouldn't get sarcasm if it bit you in the a$$. I'll make sure my girlfriend goes to you for a boob job when you become an oral surgeon and go through your plastics fellowship.

 

[gumgardener2009]

I have often heard periodontists (and residents) claim that they manage the tissue better in implant surgeries, but given the fact that oral mucosa is so resilient in general that I really wonder if it makes a difference. I thought Implants usually fail due to lack of osseointegration. So it really shouldnt matter who places the implants provided they have the appropriate training. I wonder what some of your thoughts are.

disclaimer: this post is in no way intended to start a pissing contest.

Any dentist (specialist or not) can do a good job placing implants and get them to osseointegrate. On the other hand you need to define what a failure is: an implant that spins or one that is nonrestorable or even one that has black spaces IP. The last two points take a little more planning to avoid depending on the situation.

 

[ISU_Steve]

You need to relax, periodontists have their place. I'd go to the local perio for implants before I went to an oral surgeon. Your problem is that you take yourself entirely too seriously.

 

[ajmacgregor]

Marketing 101 for Periodontists: How to use "Soft Tissue Management" to Win Friends and Influence People

Marketing 201 for Periodontists: The Epidemic of Periodontal Pathology on the Distal Aspect of the Second Molar - Time to Act!

Personally, as a GP, it has been my experience that the oral surgeons are substantially better at placing the implants AND managing the surrounding soft tissue, especially in patients with comorbidities (e.g. diabetes) or those who need extensive grafting (beyond the realm of "bone in a bottle").

 

[toofache32]

Future perio applicant here; does anyone know which programs teach dentoalveolar surgery and third molar extractions? I really like these procedures but don't want to go into OMFS.

Does anyone have a helicopter that can take me to the top of Mt. Everest? I like the idea of getting to the top but I don't want to put forth the effort.

 

[OMFSCardsFan]

Does anyone have a helicopter that can take me to the top of Mt. Everest? I like the idea of getting to the top but I don't want to put forth the effort.

You've got some good shiit, man. I laugh my ass off every time I read one of your posts...

Almost as amusing is gumgardener's token follow-up response of "being sarcastic" every time he says something stupid. How's Philosophy of Logic treating you this semester?

 

[toofache32]

You've got some good shiit, man. I laugh my ass off every time I read one of your posts...

It all comes from being a dedicated smarta$$.

 

[drhobie7]

Same reason why GPs refer their implant cases to periodontists--better soft tissue management!

I think the issue of being more delicate with mucosa/gingiva is probably dependent on the surgeon. I've seen some oral surgeons muscle a tooth out and others finesse it out. There are probably some periodontists who don't closely follow surgical principles and are sloppier than others.

 

[OMFSCardsFan]

There are probably some periodontists who don't closely follow surgical principles and are sloppier than others.

I hope PerioGod's surgical technique is better than his blow jobs...took me forever to get that mess off my shorts...

 

[mtheman]

I hope PerioGod's surgical technique is better than his blow jobs...took me forever to get that mess off my shorts...

I had that same problem

 

[ISU_Steve]

I've gotten better head from a half-starved Rottweiler.

 

[tx oms]

Why would it get ugly - it's a simple question. I like doing dentoalveolar and third molar surgery and placing implants, but I'm a *****. Perio seems like a good fit in this regard.

Any input would be appreciated.

Here, I fixed this for you.

 

[tx oms]

**** Steve, you're such a bright predent. You seem to know everything because you hang out at dentaltown and pick up on the lingo. Problem is you're too dang serious, you wouldn't get sarcasm if it bit you in the a$$. I'll make sure my girlfriend goes to you for a boob job when you become an oral surgeon and go through your plastics fellowship.

I don't know man, I kinda like her boobs the way they are. Just buy her a razor, okay?

 

[ISU_Steve]

At least it's only a razor, not at all like the gas powered trimmer North2SouthOMFS's girl uses on her beard.

 

[drhobie7]

Exodontia is not the periodontist's strength, especially not complex 3rd molars involving the sinus or mandibular canal. I've seen periodontists chase root tips and it ain't pretty. Is the current scope of practice not big enough for periodontists? You've got implants, soft tissue grafting, and all the scaling your heart desires.

 

[Jediwendell]

Same reason why GPs refer their implant cases to periodontists--better soft tissue management!

This is a good point. You should probably try and do more than two cases of third molars per day if you want to make it worth your money......................but you do get GREAT tissue management. The perio guys at my dental school draped and scrubbed the WHOLE FREAKIN HEAD for a lingual frenectomy. Whoo.

 

[toofache32]

The perio guys at my dental school draped and scrubbed the WHOLE FREAKIN HEAD for a lingual frenectomy. Whoo.

...and it probably took 2 hours.

 

[IcedOMFS]

The perio guys at my dental school draped and scrubbed the WHOLE FREAKIN HEAD for a lingual frenectomy. Whoo.

And then they sat down, and with their sterile gloves on, adjusted their mask, loupes, and headlight?

 

[S Files]

And then they sat down, and with their sterile gloves on, adjusted their mask, loupes, and headlight?

haha....so true. i get a kick, and then cringe out of seeing that happen. although this isn't specific to periodontists.
whoever wrote the analogy re: want to reach mt. everest without the effort, said it perfectly.

 

[vorosvirag]

...and it probably took 2 hours.

Where I did dental school we had so many stories about perio it was unbelievable. As a 3rd year dental student, I remember being asked to assist on an implant case in the Perio clinic. As it turned out, they had so many nurses, residents, and faculty I just stood there (trying not to laugh--that gets you a bad daily grade) and observed.

It literally took over 2 hours and they only placed a single implant. This type of tx happened all the time w/ the gum gardeners. And this perio program was a "good" one. In contrast, when I observed the OMFS folks I watched several placed in under an hour. The oral surgeons do this all the time and w/o 22 auxiliary staff--just the surgeon and his/her one assistant.

I also don't buy into the "ultimate-in-soft-tissue-experience" line. What a bunch of bull! The surgeons I knew understood how to treat the tissues--hard and soft. And they were efficient--something I rarely saw in a periodontist.

Of course, perio has a place: perio surgeries. Nobody else cares to do them. But to make claims about implant-placement superiority, wishing to take out 3rds, and greater attention to gum-tissue detail is utter nonsense.

 

[Dr.p53]

Why there's too much hate on perio Doctors? Where's the so-called "Professionalism and Collaboration "?

 

[AlcoHulk]

Dug up a 10 year old thread eh? Good job.

 

[briansle]

Why there's too much hate on perio Doctors? Where's the so-called "Professionalism and Collaboration "?

People hate on Perio because I think they focus too much on little things that don't matter that much in the big picture. Obsessive compulsive behavior will drive the people around you crazy.

I just went to the AO conference this past weekend in SF, and like half the lectures were on papilla management. Papilla...management...

In the opening symposium they brought in a plastic surgeon who talked about amazing face transplant cases and how the dental profession plays a part in restoring full function to someone who had their face chewed off by a chimpanzee. At the very end he called his face transplant patient and the entire auditorium gave her an applause over the phone. The very next speaker was this husband and wife perio-team, that quite frankly, were disturbing. We went from facial reconstruction... to... papilla management.

*puts gun to temple - pulls trigger*

 

[Dr.p53]

Dug up a 10 year old thread eh? Good job.

I haven't seen the date . I hope there is no rule in posting to an old thread

 

[Dr.p53]

People hate on Perio because I think they focus too much on little things that don't matter that much in the big picture. Obsessive compulsive behavior will drive the people around you crazy.

> So should I specialized in OMFS instead?

 

[Dr.p53]

>So should I specialize in OMFS instead?

 

[DaleDoback]

Are you really asking random strangers on a message board "what should I do with my life?" Be an adult and make an informed decision.

On the other hand...if someone doesn't have the confidence to make a decision without the support of SDN, an OMS residency will eat you alive.

 

[Muggsy Bogues]

If you're trying to choose between Perio and OMFS for residency, you don't really want to do OMFS in the first place. They're not similar specialties.