What "specialty" procedures can GPs complete without Extra training

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chund

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Hey guys, I have done a search and can't find anything that directly addresses my question.

What can/can't a GP complete without extra accredation?
I'm referring to things like Perio root planing etc/ endo/ ortho/ prostho/ oral surg. I know simple extractions and stuff can be done and IV sedations cannot, but i am looking for a more precise answer.

Where does the ADA draw the line of what a GP can and can't do?

Thanks
 
What can/can't a GP complete without extra accredation?
I'm referring to things like Perio root planing etc/ endo/ ortho/ prostho/ oral surg. I know simple extractions and stuff can be done and IV sedations cannot, but i am looking for a more precise answer.


Hi.

A GP can perform EVERY procedure considered to be dentistry and confined to the oral cavity. That includes the typical fillings, cleanings, root canals, crowns/bridges, dentures, ...........whatever you envision a 'regular' dentist to be doing. These 'tradtional' procedures are automatically covered under a GP's liability policy.

And then there are the invasive procedures that are normally done by specialists. They include surgical perio, IV sedation, treatment of bony impactions, and implant placements. Again, these are all still legally considered as dentistry. So, as a GP, you can also do all of these procedures. But you have to inform your liability carrier and they will want to see proof of additional CE trainings. Your premium also will go up.

But you bring up a good point. There's a specialty involved for almost every procedure done by GPs.
 
And don't forget the standard of care rule. Even if you are a GP, if you do any procedure deemed a specialty procedure you are held accountable for the level of practice of a specialist. So, if you do an endo, you are held to the same standards as an endodontist. Same applies if you place an implant, do an apicoectomy, or place a gingival graft. It's almost a silly rule, but dentistry's speciality make up is a rather silly thing.
 
And don't forget the standard of care rule. Even if you are a GP, if you do any procedure deemed a specialty procedure you are held accountable for the level of practice of a specialist.

What about GPs who do crappy fillings?
 
What about GPs who do crappy fillings?

Define crappy. Are we talking crappy like a lack of secondary occlusal anatomy, or crappy like those railroad-track MOD composites complete with overhangs and bonded contacts? Because I think there is plenty of literature to show the second scenario is pretty bad and is not the standard of care taught in dental school operative courses and prostho programs.
 
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