Michelle B. Deutch, D.D.S.
Some general dentists do not do extractions at all. Some of them will do simple extractions. Wisdom teeth are often a complicated extraction. Therefore, those extractions are best done at the oral surgeon's office where they are equipped to deal with complications that may arise. Thank you for your question.
1. The amount of experience the general dentist has with wisdom tooth removal
2. The position of the wisdom teeth
3. If the patient wants to be sedated, then usually, the oral surgeon will be recommended as most general dentists are not licensed for general sedation
4. Difficulty of the procedure
5. Patient medical history - the more complicated, the more likely to refer to the surgeon
Keep in mind, the oral surgeon is considered the expert in this procedure and any general dentist is held to those same standards should he/she choose to perform the procedure.
I hope this helps.
Dr. Jennifer Rankin
Hope this helps!
Jossi Stokes, DDS
To be to the point - some wisdom teeth are easy & and some are quite difficult to remove:
Most wisdom teeth, when correctly erupted, if they need to be removed, due to caries or gum disease, it is like any other tooth extraction. The problems is when the wisdom tooth has erupted in an awkward position usually at an angle to the 'normal' 2nd molar. Then the dentist often have to make a small insision in the gum & remove some bone with a dental drill - usually a grove besides the wisdom tooth, or splitting the tooth in easy removable parts. Sutures are place after the removal in the mouth.
Sometimes it is best to refer to a oral maxillo-facial surgeon, who is a specialist dentist with extra training & experience, for the most difficult cases. Best to discuss this with your dentist. Each dentist scope is different - some have additional training & experience. Referral to a specialist is also more expensive. There are, like any medical / surgical procedure, complications that can arise: some are minor & probably temporary, others more serious & potencially permanent. Therefore you have to give consent after your dentist discussed the pros & cons with you, even when you just get a simple extraction. The more difficult your extraction, the more likely the complication & time for healing. Hope this gives you a satisfactory answer.
The answer is that this depends of the General Dentist's criterion when they do the initial assessment of the patient.
Michael A. Conrad, DDS
Is the patient medically compromised-on blood thinners or very sick and needs to be treated in a hospital setting where it is safer for the patient.
The complexity of the extractions-are the teeth up or near the sinuses for top teeth or for lower teeth in the nerve canal or impacted where major surgery or bone removal is required to remove them.
The last factor has to do with the skill and/or comfort level of the general dentist doing the wisdom tooth extraction.
There's nothing wrong with the general dentists pulling wisdom teeth if they feel competent to do so. Talk to your dentist and see if they are willing to. Most of the time they will refer to a specialist if the tooth is under the gum and bone due to the surgical complexity.
Hope this helps.
Jeff Litman DMD
Orthodintic, pain , impactions, infections Extractions of wisdom teeth
could be simple or surgical and most of impacted ones have diffrent
complications that some require referrals to an oral surgeon depends on
different factors such as type of impactions , possible nerve involvement,
patients health issues and level of patients apprehension that some need to
be sedated orally or locally or under Iv or general sedation and mostly the
level of the general dentist's experience in those type of cases . So the
general dentist would be able to evaluate and diagnosis each case
individually depends on the issueds mentioned above and then decides if ur
dentist would be able to do it or an oral surgeon to perform those
procedures . Good panoramic X-ray with good visual oral exam are the key to
evaluate who will perform such cases like that .
Well if the wisdom teeth are impacted or are sideways then they are removed by the oral surgeon. But if they are out and easy to remove then they are removed by your dentist.
Francis C. Mecadon
by a general dentist , it usually is
because the wisdom tooth is not impacted,
loose or will not require the general dentist
to remove bone in order to remove it. It really
depends on the judgement of dentist to do
what is in the best interest of dtesss xxxce
1. The anticipated difficulty of the removal. Some wisdom teeth may be relatively easy to remove with basic instrumentation such as fully erupted teeth with uncomplicated root structures. These can often be removed by a general dentist. Other cases may be more complex requiring more sophisticated instrumentation and an increased level of expertise such as impacted teeth. These are more likely to be referred to an oral surgeon.
2. The level of expertise in oral surgery of the general dentist. Some general dentists have more of an interest in basic oral surgery and have taken the necessary training and have acquired the experience to do more complex cases in their offices. Other general dentists have little or no interest in doing oral surgery in their offices and refer all 3rd molar removal cases out to an oral surgeon.
3. If a patient requires or chooses to have their removals done under general anesthesia due to the difficulty of the case, anxiety about the procedure, or because of a desire to have all 4 wisdom teeth removed in the same visit. Most general dentists are not trained or licensed in general anesthesia, so those cases will typically be referred to an oral surgeon.
Aristo J. Shyn, DMD
Thank you for the great question.
Wisdom teeth extractions that are unpredictable has to be done in a special setting with an oral surgeon. The way to tell if the wisdom teeth extraction will be more complicated is to check the surrounding anatomical structures in the mouth and on X-rays. In case the upper wisdom teeth are impacted - covered with bone, and/or are close to the upper sinus, they need to be removed by an oral surgeon. In case the lower wisdom teeth are impacted or close to the lower canal where the nerve runs they need to be removed by an oral surgeon.
Keep in mind that some general dentists have special training in surgical extractions without being board certified and this will be enough to handle a complicated wisdom teeth extraction.
The safest thing will be to ask your general dentist about wisdom teeth extraction experience.
I hope this helps.
2. If you are OK with just a local anesthetic, it depends on the General Dentist's comfort in his ability to do the extraction. If he does not feel comfortable, he will refer his/her patient to an oral surgeon for the extraction.
I hope I have answered your question. If you have any additional questions, feel free to reach out to me.
David M. Kaffey, DDS
It is also true that many general dentists have procedures that they enjoy, and others that they do not. Surgery is one of those procedures that many dentists prefer to refer out as a rule, preferring to focus on other areas instead.
Indeed, there are some general dentists whose practice is limited to oral surgery.