OMFS - alternatives?

[Nonamed123]

I am a UK dentist looking to move to Canada. I know my chances of getting admission into canadian OMFS programs is next to zero. I was wondering if people who cannot do the full scope of OMFS may be able to attend CE courses and be able to perform limited scope in oral surgery? I really want to get into surgery, cant really imagine spending my entire life drilling and filling so any advice would be appreciated!

 

[PerioDont]

If you can become a licensed dentist, you can do a large chunk of specialty procedures. However, you will be held to the same standard of care as a specialist, so you have to be sure you know what you are doing.

 

[Sublimazing]

if you’re just talking about extractions and implants then you can definitely do that. There are “exodontists” who limit their practice to wisdom tooth extraction...but stroll over to dentaltown and read some of their posts to see how woefully undertrained they are, and how much substandard care they deem “acceptable”. Their guru is a guy named tommy murph and reading his posts make me absolutely cringe.
And if you add in sedation then you’re really tempting fate.

if you like implants there are implant “fellowships” out there that will honestly give you better training then a lot of OMFS residencies (especially my alma mater which royally f*cked us on implant training). I see no reason dentists can’t place almost any implant with how facile they’ve become...and they’re the one restoring it anyway.



but if you mean legit omfs...orthognathic...tmj...legit surgery...then yeah do a 6 year residency...even graduates of Louisville can match nowadays.

 

[SkyMonkey]

why do a 6 year specifically? I thought you could do all that with a 4 yr? Is the hospital privilege thing still true? dont want to start a huge debate just a tldr

but if you mean legit omfs...orthognathic...tmj...legit surgery...then yeah do a 6 year residency...even graduates of Louisville can match nowadays.

 

[bergus95]

why do a 6 year specifically? I thought you could do all that with a 4 yr? Is the hospital privilege thing still true? dont want to start a huge debate just a tldr

It’s not a debate. You’re a “legit” Oral and Maxillofacial Surgeon whether you go to a 4 year or 6 year program.

You can thus do “legit” surgery.

 

[PerioDont]

if you’re just talking about extractions and implants then you can definitely do that. There are “exodontists” who limit their practice to wisdom tooth extraction...but stroll over to dentaltown and read some of their posts to see how woefully undertrained they are, and how much substandard care they deem “acceptable”. Their guru is a guy named tommy murph and reading his posts make me absolutely cringe.
And if you add in sedation then you’re really tempting fate.

I always wondered what real OMFS thought about him and the other exodontia posts on there.

Good to confirm that many are not quite the standard of care they claim to be.

 

[2TH MVR]

We have an "exodontist" working with the the 2 or 3 OMFS at the DSO I work at. I had never heard the term "Exodontist" before. Always curious about an "exodontist" training. Nice enough guy. No idea how good he is. He's still at the DSO. Last exodontist was fired for doing shotty work.

 

[Sublimazing]

why do a 6 year specifically? I thought you could do all that with a 4 yr? Is the hospital privilege thing still true? dont want to start a huge debate just a tldr

So this is something that confuses a lot of people...the 4 year programs actually train Oral Surgery Assistants... after the 4 years these guys get a certificate to allow them to pass instruments to a 6 year dual degree surgeon. I’ve worked with them and most of them are outstanding they can tell the difference between an elevator and a luxator, and will hand you the correct east/west 50% of the time. I don’t typically trust the ones who trained at Baylor.

 

[SkyMonkey]

will hand you the correct east/west 50% of the time

LOL

 

[schmoob]

if you’re just talking about extractions and implants then you can definitely do that. There are “exodontists” who limit their practice to wisdom tooth extraction...but stroll over to dentaltown and read some of their posts to see how woefully undertrained they are, and how much substandard care they deem “acceptable”. Their guru is a guy named tommy murph and reading his posts make me absolutely cringe.
And if you add in sedation then you’re really tempting fate.

if you like implants there are implant “fellowships” out there that will honestly give you better training then a lot of OMFS residencies (especially my alma mater which royally f*cked us on implant training). I see no reason dentists can’t place almost any implant with how facile they’ve become...and they’re the one restoring it anyway.



but if you mean legit omfs...orthognathic...tmj...legit surgery...then yeah do a 6 year residency...even graduates of Louisville can match nowadays.

His answer to everything is a 301. And I see he is selling his book for $200!

 

[gryffindor]

His answer to everything is a 301. And I see he is selling his book for $200!

So the answer is not a 301? Is he like the oral surgery equivalent to the 6 months of braces guy(s)? I used to think those 6 months of ortho results were amazing until I became a real orthodontist and realized the results were mostly terrible.