Can I Trust a General Dentist to Complete Bone Grafting?
Can I trust a general dentist to complete bone grafting before getting dental implants or do I need a specialist? I’ve had two consultations. The first dentist said he would refer me to a periodontist for bone grafting. The second dentist stated that she has received training in bone grafting and has completed nearly 100 bone grafting cases. I’m unsure whether I need a surgeon for bone grafting. Taylor from SC
Taylor

Yes, many general dentists perform advanced surgical procedures with skill. A dentist who has been placing bone grafts for several years is likely to do quality work. Some general dentists also perform complex treatments, such as sinus lifts or the removal of impacted teeth. Dentists without advanced implant training refer their patients to an oral surgeon or periodontist for bone grafting and dental implant placement.
How Can You Confirm a Dentist’s Implant Training?
When considering dental implant treatment, focus on your dentist’s credentials and continuing education. Reputable programs equip dentists with the knowledge and hands-on experience necessary to handle complex cases safely and effectively. Some respected organizations include:
- American Academy of Implant Dentistry
- Engel Institute
- International Congress of Oral Implantologists
- Misch Implant Institute
A dentist does not have to be an oral surgeon to provide excellent implant care. What counts most is advanced training, ongoing education, and experience with implant procedures.
Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist, sponsors this post. Read why many of his patients say he is one of the best dentists in town.
How Long Should It Take to Identify the Cause of a Toothache?
I’ve seen my dentist twice for a toothache I’ve had since last August. My last dental exam and clean appointment was in May, and my dentist said the tooth looks fine in the x-ray. My dentist prescribed antibiotics last week, but I am concerned about losing the tooth since they don’t have any other recommendations. What is the average time for finding what’s causing a toothache? Thanks, Johan, from Seattle
Johan,

How Can a Dentist Identify What’s Causing a Toothache?
A toothache can have several causes besides a cracked filling. Dentists have additional diagnostic tools to better understand your symptoms. A careful evaluation may include:
- Gently tapping the tooth to see if it triggers discomfort
- Applying cold to observe whether it worsens or eases the pain
- Using heat for comparison
- Running an electrical test to check whether the nerve is still alive
These tests help determine what’s happening inside the tooth and how to treat it to relieve your toothache.
Why Is Antibiotics-Only Treatment Risky?
While antibiotics can reduce symptoms, they don’t remove infections inside the tooth. The bacteria can linger and return once you finish the the medication. Effective toothache remedy involves treating the tooth with root canal treatment to remove the infection and protecting the tooth with a crown.
If you’ve tried antibiotics without improvement, consider consulting another dentist for a second opinion and a lasting solution.
Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist, sponsors this post. Read about his efforts to provide some of the best dental care in Rocky Hill.