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Dentist vs. Oral Surgeon ?



Question:

What's the difference in coverage between a dentist, and an oral surgeon? And sor for adv if pollitically charged.

Also the local surgeury card lists both a "D.M.D." and a "D.D.S., M.D" - what's the difference betweent the two.

because consult with the oral surgeoun seemed like a scene from Jacobs ladder. Oh never mind - I guess I'll try to go to sleep now..


Answer:

General dentist does all sorts of dental procedures. Surgery is part of the practice, but not usually the major part of it. Oral surgeon only does oral surgery.

The DMD and the DDS degrees are both equal. Some schools issue one, while other schools issue the other. Many (not all) oral surgeons have dual degrees and have the MD degree as well.

In my case, my dentist referred my to the oral surgeon to have my wisdom teeth removed. So I suppose that some dentists don't do surgery at all, and/or they are not equipped to do it? To me, as a patient, it makes sense that someone who only does dental surgery will likely do a a better job with the extraction, and conversly, a dentist who _doesn't_ get involved with surgery might likely do a better job with the non-surgical issues. Am I on the right track here?

Is a dentist sort of the dentistry equivalent to the "general practitioner"? A kind of quarterback who is good at doing general evaluations, but then delegates to surgeons, endodontists, etc, as appropriate?

But how much about dentistry do they know other than the specific mechanics of the surgery? In part what brings up my question is this: Dentist decided that my wisdom teeth should eventually by extracted prophylactially, and suggested I make an appointment with an oral surgeon for a consulatation. Coincidentally, in the weekend before the appointment, I developed pain in the general area of one of the wisdom teeth. Called dentist, thinking that he would be the one who should diagnose what was going on. Instead, he suggested that I make an emergency appointment with the surgeon. Saw the surgeon, who diagnosed gum imflamation, and prescribed prophy Amoxicillon, and Chlorhedadine rinse (sorry for the mispells). Now, 60 hours later, pain is worse and has spread out to my front gums, the roof of my mouth and sinuses.

an oral surgeon is a dentist with 3-6 years of additional training in surgery after dental school.

your general dentist is the quarterback and he should be sure you are being well cared for the surgeon. the general dentist still has responsibility for your care even if you've been referred.

since the oral surgeon has started you on a regime of tx, you should call there today and ask to be seen today. if he can't see you or is not in town today, call the general dentist and ask him what to do--should he see you or find another oral surgeon to see you.

while all of this tends to overlap, most general dentists feel better in having patients managed by the oral surgeon for both the technical aspect of wisdom tooth extractions and the management of infections--what is the best course, best antibiotic, etc.


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