3 offices…3 surgeons…2 go to OR and the other surgeon is business as normal. It’s a nice break from the monotony of 3rds and the hoops ortho likes to put me through.
I may be wrong but if I remember correctly wasn’t it 9 years of your life after D school?
LeFort 1, bsso, genio.
I'm curious. What hoops?
Why even go into dentistry then? My friends dad makes a killing with his chain of 7/11’s.
You should consider investment banking then. Or consulting. Or making viral videos.
Man this threat is juicy.
He said if I was really passionate about it to do it. The problem is, if I end up just extracting teeth and sedating, am I really doing what I set out to do when I signed up to be an Oral and MAXILLOFACIAL surgeon? I don't have answers to these questions
I mean nobody is forcing you to only extract teeth and sedate. Whether or not the OR stuff is worth the headache is another story, but there's nothing stopping you from doing the occasional mandible fracture or orthognathic case. It's not like hospital OMFS are homeless or something lol. Also GP dentoalveolar =/= OMFS dentoalveolar. GPs are not gonna do Caldwell-Lucs, full bony impactions, cyst enucleation, calvarial/hip grafts, and so on so forth.
Plenty of GPs do full bony’s. Many of them have lots of additional training and CBCT’s. However they are limited by sedation level. But there plenty of excellent GP Exodontists. In fact, the military used to have a 1 year training track in just exodontia , so the OMFS actually do surgeries.
Very curious as to what procedures are deemed too have little to no therapeutic value? And technically almost all cases are elective unless life threatening. Does that mean they do not have value?
Talking about mostly outliers here. No corp or group practice will allow its GPs to do cyst enucleations, full bony impacted wizzies sitting on the IAN, or full arch implant cases with or without zygomatic/pterygoid/transnasal implants. A GP simply cannot justify having a CBCT or even a pano in their office bc the volume simply isn't there. How many times will you use a CBCT when the bulk of your practice consists of hygiene checks, restorations, dentures, and etc? Sure, you can do whatever the hell you want as a GP in your own office, but thats the case with any physician/dentist that runs a private practice. Doesn't make it right though.
My corp group actually has a traveling GP “exodontist” that travels from office to office doing IV sedation and he also does full bony 3rds. He comes to my office once a month to do my cases. My former co-worker also did full bony 3rds as a GP. I think it’s more common than you think.
A GP doing IV sedations in offices that aren't set-up for anesthesia? Seems like that dude is playing with fire. Most of my GP colleagues say that limiting their practice to dentoalveolar surgery is not the best idea for several reasons, including high malpractice insurance costs, lower reimbursement rates for non-specialists, trouble getting the referrals, liability, speed, not knowing how to manage the surgical complications, and etc. But hey if you can pull it off, nobody is stopping you from doing it. Your patients will certainly be happier
He brings alot of his own equipment and instruments to our office. Pretty sure dental anesthesiologists operate in a similar fashion. I don’t think he has issues keeping a full schedule since our corp has so many offices. He’s always busy. If the the scheduled production for the office isn’t high enough he doesn’t even bother coming that day.
Hey! Good to hear from you! Hope all is well.
I would say the majority of GP offices have panos and many have CBCTs as well now for more complex endo, implants, and extractions
Agreed
