This is entirely incorrect. As a periodontal resident in my 3 year program, I know the amount of knowledge I have learned is vastly better and greater than any course a GP can offer. Implants come with many complications. Esthetics, soft tissue, adequate placement for restoration and avoidance of important anatomical structures, all are factors to consider. Do you know anything about soft tissue grafts at the time of placement if you need them? What about when to place a bone graft with implants. When do do immediates, when to do immediate loading, when to bury the implant, what implant components to order, what abutments, what impression components, when to remove bone and when not to. I've seen tons and tons of peri-implantitis cases now, many placed by general dentists. It's only a matter of time before you start having more and more complications you will have to deal with. What are you going to do when you're implants start failing? Wash your hands of it and say sorry to the patient? It is much more complicated than it looks, it's not simply drilling a hole in bone and placing a screw.
Just saw all the replies. Didn't know my comment was going to cause a big problem, but I didn't mean to offend anyone.
I read my response to the thread topic, and I admit i got carried away in excitement when i said gps are best for implant placements.
😉
Jeremy713, You guys obviously get LOT MORE training in implants for sure. When you read that I've placed a lot of implants, you're assuming that I didn't think about proper tx planning that's going to involve any possible complications.
I actually refer to my periodontist a lot. In the beginning, I referred all anterior cases because I didn't want to get involved with soft tissue grafting cases because I'm not trained in it. However, when I did refer each anterior case, I went to the periodontist office and observed and assisted. (remember: During office hours, I'm not seeing my patients in my office, and still paying staff to stay there). I did this to LEARN from the specialist who does it well.
In regards to bone grafting, I graft all my extractions unless patient is completely against it for financial reasons.
For past nine months, I've been placing anteriors where I feel comfortable.
I've also done immediate implants in the anteriors along with bone grafting, guided tissue regeneration via membrane. Some of these patients with immediates - are my patients who have BEEN to my periodontist for Ossesous surgeries - but that's the relationship my periodontist and I have. And these patients are still coming to me for implants.
Ive also seen implants fail in patients who have had them placed by general dentists, oral surgeons as well as periodontists. But I wouldn't automatically assume, it's always the doctors.
"it's only a matter of time before you start having more and more complications..." - So you're just wishing that all i've done so far will fail. Thanks for the wishes, but no thanks.
Complications could arise from anyone.
When you leave your residency and enter the real world, you'll learn quickly it's all about relationships - whether it'd be with your patients or with other referring doctors.
Learn to maintain and respect these relationships now, otherwise, you'll quickly run into problems in the future when you're depending on your referring doctors (Gps, Oral Surgeons, prosthodontists).
By the way, Dr. Garg is NOT a gp. He's not just in it to make money - sure he makes a TON. Let him tell you personally about his 20 yrs at the hospital in Miami. Don't start judging.
I'm going to not reply on this topic any further.
The whole point of my reply was to motivate the person who started this thread.
