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General Dentists - Same Procedures As Specialized Dentists?

Discussion in 'Dental Residents and Practicing Dentists' started by zahiradams17, Mar 11, 2019.

  1. zahiradams17

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    To whom it may concern,

    I was thinking about not specializing and just graduating dental school after 4 years and just being a general dentist. I just don't want to spend another 4-6 years after dental school in even more schooling. As a general dentist what are you limited to procedure wise? And are you able to perform the same procedures as an oral and maxillofacial surgeon or orthodontist? Can you learn that stuff on the job or do you already know how to do the same things as a dentist who particularly specializes in those fields? Thank you.
     
  2. Third Molar

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    Can you better your skills as a GP and complete some of the same procedures as OS and offer ortho services and complete more endo? Yes, of course! But keep in mind becoming a jack of all trades GP will take years of practice, otherwise you will end up hurting your patients. It's not as simple as taking 1 CE implant course and then being able to place every kind of implant, same for endo and ortho. Finishing school you will have just enough knowledge to complete most of the basic procedures and it will take years to build your hand skills and become a good dentist with just the basics. Once you got the basics down, then its time to expand into more complicated procedures. To answer your question you're not limited to any procedure, but you are responsible for your actions and the well being of your patients. And you more than likely will never be as good as someone who is dedicated to one aspect in the field and complete the more difficult procedures.
     
  3. OP
    OP
    zahiradams17

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    Thank you for your input!
     
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  4. Captain Underplants

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    Plus of course there are some procedures you will never be able to do as a GP that a specialist can, such as Orthognathic Surgeries, Facial fractures etc, probably some Perio procedures such as CT grafts or FT grafts would be a hard sell too. Some courses might train you to do sedations, but I would never trust someone with a 1 month sedation course to put me or someone I care about to sleep.
     
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  5. Likkriue

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    The issue is if you will have the volume to do these Procedures and still be able to do other procedures. Remember, you don’t get referrals from other general dentists. On top of that you will have to do these procedures well or the specialists will happily burn you in court for not referring the case.
     
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  6. BlackThought

    BlackThought Faustian Luminary
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    A GP can not "perform the same procedures as an oral and maxillofacial surgeon". Sure, they can try to incorporate some surgical dentoalveolar procedures into their practice.

    The field and training for OMFS incorporates significantly more than dentoalveolar procedures, regardless of what most private practice OMFS is.
     
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  7. Rainee

    7+ Year Member

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    Can do whatever you want. Later on in life you will realize that you will prob just be a fill and drill dentist and do no specialty. Contrary to popular belief- you do not have to be a super GP to make super money. Can easily just do fill and dentistry and make a very healthy living.
     
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  8. hellopeople

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    You wont have GPs referring you you. Without that you will not have the flow needed for that to matter.
    Though outside of the OMFS stuff I guess your license technically would allow you to do whatever.
     
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  9. Medin2017

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    How often are dentists actually getting burnt for messing up? I can't find statistics on it but it seems like it would not be rare based on posters here. Won't people on averagerage take more risks if they are in tough spots financially? I'm nervous about how things will look in ten years
     
  10. vellnueve

    Dentist 10+ Year Member

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    In Texas, any time a dentist does a procedure that results in an overnight hospital stay, it's a mandatory report to the board. In the narrow experience of the two hospitals I work at, it is something that happens at least every couple months.
     
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  11. Medin2017

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    Their practices also pretty much are destroyed by this I'm assuming? Must be a scary environment for people with 500+ debt not knowing how to drop it...
     
  12. TanMan

    TanMan New Member
    Dentist Lifetime Donor Verified Expert Verified Account 10+ Year Member

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    In Texas, it's rare. The board can go after you, but it seems like everyone just gets probated suspension + fine/restitution + CE unless they are an immediate danger to themselves and their patients (i.e substance abuse issues). Most lawyers won't go after you in Texas since it's not worth their time due to tort limits/reform. So... it all depends on which state you choose to practice.

    You can perform ext, implants, sinus lifts, ridge splits, etc... most dentoalveolar stuff as a gp. You can learn that stuff via CE or on the job. If you're looking into lefort, bsso's, maxface cases, you will need to go into an omfs program. If you want to do ortho, you can do a weekend course for the easy cases (ortho relapse, minor crowding) or do a 2 year mini-residency (a bunch of weekends in the span of 2 years) in ortho for the harder cases. You have almost no restrictions on your license as a GP, besides sedation and hospital based OMFS procedures. Sedation is dependent on your state requirements, but I recall doing half a day of CE for moderate enteral sedation (I surrendered/gave up my sedation license when they increased the regulatory requirements in my state... was not worth my time to maintain my sedation license).

    As a GP, do the easy stuff. Production per hour is a lot higher on the easy cases.
     
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  13. HeyEjo

    HeyEjo Abandoned
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    texas took down chris duntsch!
     
  14. TanMan

    TanMan New Member
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    Yea, but dentistry is not that invasive. Hard to mess up at that level. In most instances of messing up, you lose a tooth. Worst cases, you oversedate, patient dies, paresthesia, sinus involvement or mronj.
     
  15. vellnueve

    Dentist 10+ Year Member

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    In OMFS there’s many more ways you can do things wrong.

    If a GP were to try some of the more complex procedures it would not go well for them trying to justify it.
     
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