Perio vs. OMFS vs. Prosth?

[DDSinMaking]

I participated today in a school seminar given to my class by one of the local dentists who was talking to us about Implantology and the current trends in the field. I found the field fascinating did a bit of research into the field.
So after hours of searching, I learned that there is no official residency/specialty called Implantology (Expect a few like the NYU one for international dentists and a couple more). I learned that there are 3 different specialties that have training in surgical implant placement: OMFS, Perio and Pros.
Now I know the three field are different and each has their own unique perspective and approach in surgical and restoration of implants but my main question is which one is the Founding Specialty? Like if I want to go into the field of implantology and microsurgical implatology, which field would prepare me the most? Would a fellowship be beneficial? Each specialty offers different procedures as well but for ex. with OMFS, I don't want to do extractions all day everyday (No offence to any OMFS out there). Which specialty would be the most comprehensive in implanvology and offer a microsurgical and minimally invasive approach?

---

Members don't see this ad.

 

[Svart Aske]

Oral surgeons were the first to place implants and are trained in the comprehensive medical management of the patient.
However, if you are only interested in implantology and not the other procedures that OMS do or the long and arduous training they go through, perio is a better choice. Or just do an implant fellowship.

 

[321931]

Oral surgeons were the first to place implants and are trained in the comprehensive medical management of the patient.
However, if you are only interested in implantology and not the other procedures that OMS do or the long and arduous training they go through, perio is a better choice. Or just do an implant fellowship.

I would likely lean to omfs for better job stability and income. Perio is great and all but there is a turf war with implants and for the most part, perio doesn’t seem to be the winner.

I do refer my anterior implants to perio but I haven’t seen a huge difference compared to omfs in terms of esthetics.

Perio is a good alternative to less schooling but I would choose omfs for job stability and income 100000%

 

[Muggsy Bogues]

If you just want to place implants, don't do OMFS.

Also, what the hell is "implant microsurgery"? That's an embarrassing term for the dental profession. Up there with "periodontal plastic surgery".

 

[DDSinMaking]

I would likely lean to omfs for better job stability and income. Perio is great and all but there is a turf war with implants and for the most part, perio doesn’t seem to be the winner.

I do refer my anterior implants to perio but I haven’t seen a huge difference compared to omfs in terms of esthetics.

Perio is a good alternative to less schooling but I would choose omfs for job stability and income 100000%

One reason I'm reluctant to OMFS is the sheer competitive of the specialty (especially for International students) - I haven't come across a program yet that accepts international students, meaning I certainly must do a Advanced Dental training in US in order to stand a chance. Don't get my wrong I wouldn't mind doing the training, I would graduate dental school at 23 and I wouldn't mind doing the extra 2 years to get licensed in US but I'm not sure if its worth it. Its just more debts + it still doesn't mean 100% guarantee I would gain acceptance.
Another alternative that I've come across Is that where I'm from there are 2-3 year postgraduate programs that only do training in intra-oral surgical procedures (Dentoalveolar, Implants, biopsies and etc.) - Would doing such program suffice and be a good alternative in your opinion?
Thanks in advance!

 

[DDSinMaking]

I can't believe some peeps are not satisfied with GP's job stability and income and would pursue more schooling/debt.

I have heard GPs narrowing their practice to Implants and doing other procedures as well (Veneers, Crowns, Invisalign and etc.) - A close family friend of ours did numerous CE courses in his first 2 years out of school and now he can place Implants and restore them as good as any other Specialist in the area, but I'm not truly sure if his training would ever be just as adequate as training a Perio receives? + I'm not really interested in GP mainly because I like blood + gore (lol) and I don't like offering a generalized service, I'm more of a person that wants to specialize in a niche field and perfect his craft through the years to come. Would that be possible would GP in the long-term?
Thanks in advance!

 

[DDSinMaking]

If you just want to place implants, don't do OMFS.

Also, what the hell is "implant microsurgery"? That's an embarrassing term for the dental profession. Up there with "periodontal plastic surgery".

Implant microsurgery is essentially a fancy alternative term for saying "The use of microscopes in Implant placement" - I'm not sure if you've heard of Dr. Behnam Shakibaie but he's the founder of this technique. Our Seminar was about Minimally Invasive Implant Dentistry and the speaker mentioned him. I would love to hear your thoughts about this!
Thanks in Advance!

 

[Likkriue]

Whichever one makes the most.

 

[The Anhedonia]

If all you want to is implants, just become a general dentist and get involved in CE. Implants are for the most part becoming quite easy to place in a large majority of patients given decreasing costs of guided surgery. This guy- ImplantsMadeEasy- for example prints his own 3D-printed guides and jigs, and does implants placement with immediate loading same day all by himself and seems to have decent outcomes (well, as much as one can appreciate on facebook) Implants Made Easy.
I'd rather just do that instead of the opportunity cost of residency.

The only advantage to doing implants via the OMFS route is the anesthesia training - some patients due to anxiety-related issues are willing to pay for IV sedation to be under deep sedation (not the weekend course crap - you cant use propofol from a training course). Granted, in OMFS we sometimes do zygomatic implants which is much more surgically involved, or we do big block grafts from ramus/tibia/iliac crest; but I'd say 80% of patients don't need their hip in their face to get an implant - just refers those out (to me )

 

[DDSinMaking]

I would likely lean to omfs for better job stability and income. Perio is great and all but there is a turf war with implants and for the most part, perio doesn’t seem to be the winner.

I do refer my anterior implants to perio but I haven’t seen a huge difference compared to omfs in terms of esthetics.

Perio is a good alternative to less schooling but I would choose omfs for job stability and income 100000%

For OMFS (I would still try to apply and do externships) , would you say its worth it to still do OMFS even If you're an international student? I'm a canadian studying abroad and my program is accredited in Canada. Canada has only a few spots available so most likely option would be going to US. There are also only so few programs that accept international students (in 2016-2017 MATCH only 1 International student got in). So I divinely have to do a IPD/Advanced Dental Education to get accredited in Canada. With all this into consideration would you say its worth the extra cost of IDP for doing OMFS (I'm only Interested in 4 year programs and not 6 years, I would like to stay true to the reason why I chose dentistry over medicine)?

Keep in mind, I'm a family-orientated person, I would like to marry and be financially stable by 30 in order start a family (I know as an 18 year old its still years away and anything can change in the next 12 years but I'm old-fashioned lol). Also in terms of what my vision is in terms of career wise is that I would like to establish a multidisciplinary dental clinic.

 

[omfsing]

For OMFS (I would still try to apply and do externships) , would you say its worth it to still do OMFS even If you're an international student? I'm a canadian studying abroad and my program is accredited in Canada. Canada has only a few spots available so most likely option would be going to US. There are also only so few programs that accept international students (in 2016-2017 MATCH only 1 International student got in). So I divinely have to do a IPD/Advanced Dental Education to get accredited in Canada. With all this into consideration would you say its worth the extra cost of IDP for doing OMFS (I'm only Interested in 4 year programs and not 6 years, I would like to stay true to the reason why I chose dentistry over medicine)?

Keep in mind, I'm a family-orientated person, I would like to marry and be financially stable by 30 in order start a family (I know as an 18 year old its still years away and anything can change in the next 12 years but I'm old-fashioned lol). Also in terms of what my vision is in terms of career wise is that I would like to establish a multidisciplinary dental clinic.

You need to chill out. Enjoy your late teens and early twenties.