Tooth Extraction or Implants Surgery: General Dentist or Oral Surgeon?

The blog explains the differences between general dentists and oral surgeons in terms of training, tools, and the types of procedures they handle. It offers guidance on when to seek care from each specialist, aiding patients in making informed decisions about their oral surgery needs. Β It is worth noting that the oral surgeons invest several more years in focused training after becoming general dentists, which thoroughly equips them for complex treatments.

πŸ‘¨β€βš•οΈ General Dentist

Most general dentists perform simple tooth extractions and may even offer dental implant placement, especially if they have taken continuing education courses in surgical techniques.

πŸ› οΈ Tools & Techniques:

Standard dental tools like elevators and forceps for extractions.

Local anesthesia for pain control.

Basic 2D dental X-rays to assess tooth position.

May use guided implant surgery kits, but often without advanced imaging.

Usually works without IV sedation β€” local numbing only.

πŸ” Considerations:

Suitable for uncomplicated extractions, like loose or erupted teeth

May offer implants for ideal cases with plenty of healthy bone.

Limited experience with complex cases like impacted wisdom teeth, bone grafting, or sinus lifts.

May not offer IV sedation or surgical monitoring.

πŸ‘¨β€βš•οΈ Oral Surgeon

Oral surgeons complete 4–6 years of surgical residency beyond dental school. They’re highly trained in all aspects of oral and facial surgery β€” from routine extractions to complex jaw reconstructions.

πŸ› οΈ Tools & Techniques:

3D Cone Beam CT scans for precise planning of extractions and implant placement.

Surgical tools such as bone chisels, sectioning drills, piezoelectric devices, and advanced suturing materials.

Offers IV sedation or general anesthesia for patient comfort.

Can perform bone grafts, sinus lifts, or nerve repositioning when needed.

πŸ” Considerations:

Ideal for wisdom teeth, especially impacted, severely broken teeth, and patients with complex medical histories.

Higher precision and safety in high-risk areas, like near the sinus or nerve.

Faster recovery and lower complication rate due to experience.

Generally, more expensive than general dentistry services.

πŸ’‘ Final Advice:

Suggested approach:

A general dentist is usually your first stop for routine dental care β€” and even basic extractions or straightforward implants.

But if your case involves impacted wisdom teeth, bone loss, multiple implants, or you are nervous about pain or anxiety, an oral surgeon is worth considering.

Ask yourself:

Is this a simple or complex case?

Do I want IV sedation or just local anesthetic?

Has my general dentist done many of these procedures before?

Are there risks like nerve damage or sinus involvement?