How periodontists work with general dentists Question
Periodontists and general dentists share care. The dentist finds gum disease or plans an implant and refers; the periodontist diagnoses, treats the gums and bone, or places the implant; then both share maintenance, often alternating cleanings every three months, while the dentist keeps fillings, crowns and the implant crown.
Who does what?
| General dentist | Periodontist |
|---|---|
| Checkups, fillings, crowns | Diagnosis by stage and grade |
| Finds early gum disease | Deep cleaning, LANAP, regenerative surgery |
| Makes the implant crown | Places the implant, grafts bone and gum |
| Alternating cleanings | Alternating maintenance and re-measuring |
When does a dentist refer?
The AAP lists moderate or severe gum disease, smoking, a history of heart disease, stroke or diabetes, and complex implant cases. Common triggers in practice are pockets of 4 mm or more, bleeding that does not settle, bone loss on X-rays, recession, loose teeth, implant planning, and patients with diabetes or other medical risks.
Questions
Will I stop seeing my dentist?
No. Patients keep their general dentist. The periodontist treats the gums and bone and reports back.
Sources
Periodontists and training Read next
How to choose a periodontistChoose a periodontist on five things: board certification by the American Board of Periodontology, the range of treatments offered (deep cleaning, LANAP, grafting, implants), results shown and measured, reviews from patients, and how …
What does a periodontist do?A periodontist is a dentist who specializes in preventing, diagnosing and treating gum disease, and in placing dental implants.What is the difference between a dentist and a periodontist?A general dentist provides routine cleanings, fillings, crowns and bridges.How long does it take to become a periodontist?A periodontist completes four years of dental school and then three more years of specialty training in periodontics.Is a periodontist the same as an oral surgeon?No. A periodontist specializes in the gums and the jawbone that supports the teeth.
Do I need a periodontist?You may need a periodontist if you have moderate or severe gum disease, with bleeding, swollen or receding gums, loose teeth, bite changes or pain.