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Forum Category: Implantology

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THENEXTDDS Administrator

Placing Implants In-house vs. Referring Patients

While browsing around some dental-related forums earlier this week, I stumbled upon this article:

http://health.yahoo.net/articles/oral-care/photos/6-signs-you-need-new-dentist#3 

This was one of six points the article was making, but it was the one that stood out to me the most. It seems to suggest that GPs are not capable of placing their own implants, and that those seeking implants should only expect a referral from their GP. This got me thinking; do dental students today (or new dentists in the field) feel they are getting sufficient training to place/maintain dental implants in their patients? Since most should, in theory, be capable of placing at least some implants on their own based on their training (and respect of the proper indications), I thought it would be a good question to pose to you, today’s dental students.

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JuliaJarvis

Placing Implants In-house vs. Referring Patients

03:44 PM | Mar 30,2012
Is there some algorithm or flowchart showing the proper thought process?
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Ted Jones

Placing Implants In-house vs. Referring Patients

03:47 PM | Nov 15,2011
Well said. GPs can often perform simple cases, or cases in non aesthetic zones, but for anything in aesthetic zones, anything involving soft tissue, and anything involving more than one implant I would probably recommend a referral.
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Jim Gee

Placing Implants In-house vs. Referring Patients

03:46 PM | Nov 15,2011
I don’t agree with the idea in this article at all. I’m studying to be a general dentist, and I really hope that one day I can place my own implants. IMO, the key is knowing when you have the necessary competency and when a case is extensive enough to refer a patient to a specialist. I realize that many cases require additional training and experience to perform (for instance, when one is working in the aesthetic zone or near the maxillary sinus), and I know that GPs have to be very selective in their cases. I do hope to one day offer implants to my patients with good available bone and those needing just a single implant. I probably wouldn’t want to place an implant in the maxillary anterior, and would probably refer such indications to an oral surgeon—though I would want to be involved in treatment planning throughout. A periodontist might be involved too in any cases involving tissue grafting. Just because a general dentist claims to have the ability and confidence to place implants should be no reason for a patient to seek a new dentist, but again, for complicated cases I would definitely refer patients to a periodontist and/or oral surgeon.
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