cooldoc_2004 said:
And I know orthodontists who do endo work as well, so I don't think the practice becomes limited to that field.
Whoa. Don't know about orthodontists doing root canals. And on the flip side, I don't think endodontists would dabble in braces either.
This is the ADA definition of Orthodontics: Orthodontics and dentofacial orthopedics is the dental specialty that includes the diagnosis, prevention, interception, and correction of
malocclusion, as well as neuromuscular and skeletal abnormalities of the developing or mature orofacial structures.
This is the ADA definition of Endodontics: Endodontics is the branch of dentistry which is concerned with the morphology, physiology and pathology of the human dental
pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal
pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the
pulp and associated periradicular conditions.
Note the use of the word "malocclusion" for ortho and "pulp" for endo. The scope of each specialty really doesn't overlap and even if endo was necessary as part of treatment planning for an orthodontic case, the orthodontist should be referring it out to the endodontist or general dentist, depending on the practitioner's prefernce and severity of the endo case. If the person treatment planning the case was a general dentist, then yes, he could do the endo and the braces, but only if he was adequately trained to handle both. There are general dentists who do both, look over at DentalTown, however, I don't think the general dentist would be tackling the dilacerated molar with calcified canals in conjunction with the class III malocclusion.
Now if you are trained as an orthodontist and decide to start doing some endo on the side, no one can argue that you aren't trained to do endo since you did go to dental school and have a DDS. Maybe you're even really good at root canals b/c you did a general practice residency before ortho school where you got awesome endo experience. However, when word gets out around town that you are doing root canals - and word will get around b/c patients say things like "Oh yeah, my orthodontist did this root canal for me" when sitting in the general dentist's chair for their bi-annual cleaning & exam - watch your referrals drop fast. Ortho and endo are both referral dependent specialties, and if you don't want to lose your main referring dentists, it's best not to piss them off by overstepping your boundaries.
The orthodontist you know doing endo - who is doing the crown after the root canal? The orthodontist? Does the patient get sent back to the general dentist? I can see nothing but trouble in this situation.
People specialize because it is one aspect of dentistry interests them 24/7. The money is nice, but it's not the sole motivator b/c you have to give up a few years of a nice dentist salary to specialize. Not to mention that you often have to borrow a lot of money to pay for your specialty education.
Endo offices have the lowest overhead when you consider all aspects of dentistry.
Now how about some questions for you. Are you a dental student, or a pre-dent? Why are you considering both? With a little more info from you, maybe we can help you decide between the two.