Palm Beach Dentist Dr. Mitchell Josephs answers the question “When Should I See a Dental Specialist?”
We took my son up to Boston last week to start four years of dental school at Tufts University School of Dental Medicine. I wonder if he will pick up the accent up there. I thought I understood English as it is my first and pretty much only language, however that Boston accent is super “haaaaaaaad” to understand sometimes. Everyone sounds like Ted Kennedy. Boston drivers make Miami drivers look like fluffy nice sheep floating on clouds of courtesy. I guy cut me off and gave ME the finger.
Not exactly the most fashionable of towns; from the back, you can’t tell who is a dude and who is a dude-ette. Everyone is covered kaki and fleece. Looks like an LL Bean outlet exploded.
This is a follow up to a reader who asked me if they needed to see a “specialist” for multiple extractions, implants and major crown and bridge reconstruction in order to have permanent teeth. We discussed in part I that the above procedures for the most part do not require that you seek a specialist. Today, however, we will discuss when you definitely should seek one.
Although dental implants and cosmetic dentistry such as veneers are not recognized specialties of dentistry with board certifications, it IS time to seek a specialist when:
- Your general dentists may not have been trained in post grad courses in dental implants. He or she may want to do the tooth part, but may send you to another doctor for the surgical placement of the implants.
- Certain medical issues. Example: Currently undergoing chemo or radiation, conditions requiring IV antibiotics or hospital stays, bone disorders, blood disorders, un-controlled diabetics and having a previous history of severe complications form previous dental procedures such as ONJ (Osteonecrosis of the Jaw), delayed healing, etc.
- Need for IV sedation or general anesthesia due to mental or physical disabilities or severe anxiety.
- Procedures not in the scope of your general dentist’s practice. Common examples: braces, impacted wisdom teeth and complex oral surgery such as fractured jaws, sinus issues related to tooth removal and implants, complicated root canals on multi-rooted molar teeth that an endodontist should handle, complicated gum problems requiring a periodontist such as gingival grafting and major bone loss requiring gum surgery, and of course having children seek treatment with a pediatric dentist.
Dr. Mitchell Josephs practices Implant, Cosmetic and General Dentistry in the Town of Palm Beach, Florida with an emphasis on implants, veneers and complex crown and bridge treatment. He is on staff at JFK Medical Center and is a Faculty Advisory Board member at McGill University’s Faculty of Dentistry. He completed his residency at Manhattan’s Beth Israel Medical Center and Mt. Sinai Hospital.