Clinicians often have strong opinions about GPs performing treatments that have traditionally been performed by specialists. Some oral surgeons and periodontists firmly believe that GPs shouldn't be placing implants or performing tissue augmentation procedures. However, many have come to accept that GPs can perform these procedures if they receive appropriate education and gain experience. But how much education and experience is sufficient? Endodontics presents a similar conundrum, but it is an entirely different beast. Unlike implant treatment, which serves as an elective alternative to bridges and dentures, endodontic treatment is necessary to save teeth and mitigate potentially life-threatening infections, and having GPs who can perform it is of particular importance in underserved areas with limited or no endodontists.
Ultimately, it's important to remember that meeting the standard of care doesn't just include the treatment itself; it also includes being able to effectively manage any adverse events or postoperative complications that may arise. Making mistakes and dumping them on your endodontist is a surefire way to ruin your relationship with him or her—and your patients!
Robert C. Margeas, DDS
Editor-in-Chief, Inside Dentistry
Private Practice, Des Moines, Iowa
Adjunct Professor
Department of Operative Dentistry
University of Iowa, Iowa City, Iowa
robert.margeas@broadcastmed.com
