Different Type of Dental Specialties

In dentistry there are specialties but all general dentists perform all the procedures of specialists.

Dentistry is somewhat different from medicine.  In medicine Doctors generally deal with one part or treatment of the body.  While in dentistry even though there are specialists most dental treatments are performed by general dentists.  The specialists are for challenging cases.

With proper training general dentists can and do perform treatments of all the specialties.   So what and who are dental specialists.  First they are all general dentists who obtain additional training in one area of dentistry and then limit their practice to only performing specific treatments.

Here they are:  Endodontists who are concerned with root canals

                                Orthodontists who are concerned with movement of teeth

                                Periodontists who are concerned with providing dental treatment to children

                                Periodontists who are concerned with maintaining gum health

                                Oral Surgeons who are concerned with removing teeth

All dentists extract teeth.  This is the final treatment for hopeless teeth.  Today we are able to save teeth which in the past would be extracted.  Difficult extractions, third molar or wisdom tooth extractions and patients who want to be put to sleep for their tooth removal are generally referred to an oral surgeon.

Oral surgeons are also placing implants at this time.

Root canals are mainly done by general dentists.  An advantage to the patient is that the fee charged by a general dentist for a root canal is less than what an endodontist would charge for the same treatment.   Once again it is the degree of difficulty of the tooth involved which determines if the patient should be referred.  In the United States there are not enough endodontists available to perform all the root canals that are needed so general dentists are doing the vast majority of them.

All dentists can and do work on children.  It is a personal decision of the dentist if he or she wants to treat children.  Treating children requires a different mindset and the staff needs to be trained to handle the unique needs of working on adolescents.

Gum surgery and implant placement which is what periodontists perform can and are being performed by general dentists.  It comes down to the training and confidence of the general dentist to perform these treatments.

Finally in orthodontics general dentists are performing a substantial number of treatments.  With the advent of clear aligners such as Invisalign tooth movement is becoming the province of general dentists.  Again it is the parameters and the difficulty of the case that determines if an orthodontic referral is necessary.

In dentistry the general dentist as the name implies is the General.  The specialists are the subcontractors who the general dentist engages if he deems their services are needed.   The average patient generally first goes to their dentist for an evaluation before ever seeing a specialist.

At the dental practice of Glenn Reit DDS we are always happy to meet with new patients and to diagnose their condition.   We like people and we like taking care of you and your teeth.  If you think you need to see a dentist give us a call today at 212 517 9000.

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Looking for a Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you!

Root Canal Treatment vs. Placement of a Dental Implant

My belief is that although we try to duplicate nature, nature always wins.  The science and art of dentistry can help to restore or replace defects to your teeth.  Your own natural teeth with no dentistry are the best solution but life happens and decay and tooth loss occur.

If a tooth becomes traumatized or decay spreads too far the nerve of the tooth can become infected.  At this point either the nerve has to be removed from the tooth or the tooth has to be removed from your jaw.  Root canal therapy is the process whereby the dentist is able to retain the tooth in your mouth.  One of the problems with root canal therapy is that the salvaged tooth is not as strong as a tooth which has not been treated with a root canal.  The tooth is still in your head but is now non vital and starts to dry out.  A root canal treated tooth needs a crown or cap to serve as a girdle to hold the tooth together.

In the past root canal therapy was the preferred alternative vs removing or extracting the tooth.  Now there is an additional option.  The tooth can be removed and an implant which is a piece of titanium can be inserted into your jaw which simulates the root of the tooth.  Then a crown can be made to resemble your original tooth.

For a time, the swing to extracting and placing implants vs root canal therapy was becoming the norm.  Now the pendulum is swinging the other way where root canal therapy if it can be performed is the treatment of choice to save your tooth.  The cost of a root canal is much less than the cost of an implant.

A root canal is done on your own tooth so technically your own tooth is still in your head.  The time to do a root canal and then restore the tooth can take up to three weeks while an implant can take more than six months to achieve a similar result.

A problem with implants is not the implant nor the crown but the abutment which replaced the lost tooth structure in your mouth.  The problem is that the abutment is attached to the implant with a screw.  All screws desire to unscrew and this is a problem with implants.  If the screw becomes loose additional treatment is necessary to save the implant and crown.

At our practice we will always give you the advantages, disadvantages, risks and alternatives for all treatments we perform before beginning along with the costs involved.  This way you can make an intelligent choice on the treatment we provide you.

Looking for a Dentist in the Upper East Side?

At the practice of Glenn Reit DDS; we provide quality care in a relaxed, comfortable, clean and safe environment. Please contact us today at 212 517 9000 for this or any other of your dental needs. We look forward to seeing and taking care of you.