Reviewed by Dr. Jason Fluckiger, DMD

Reading time: three minutes

When a dental issue comes up, it is not always obvious who you should call. Many patients wonder whether a general dentist can handle the problem or if an oral surgeon is the better choice. While both providers support oral health, their training and the types of care they provide differ. Understanding those differences makes it easier to take the next step with confidence.

Table of Contents

Key Differences Between General Dentists and Oral Surgeons

General dentists focus on routine dental care, prevention, and treatment of common oral health conditions. Oral surgeons receive advanced surgical training that prepares them to manage complex procedures involving the teeth, jawbone, facial structures, and supporting tissues. The difference in training allows each provider to address different aspects of care safely and effectively.

What Does a General Dentist Do?

Most patients begin their dental care with a general dentist. This provider focuses on prevention, diagnosis, and treatment of common dental conditions.

General dentists typically provide:

  • Routine dental exams and professional cleanings
  • Cavity fillings and restorative care
  • Crowns, bridges, and preventive sealants
  • Gum disease diagnosis and periodontal care
  • Cosmetic treatments such as whitening or veneers
  • Root canal therapy
  • Routine tooth extractions
  • Ongoing maintenance of dental implants 

General dentists treat patients of all ages and often coordinate care when a condition requires specialized treatment.

What Does an Oral Surgeon Do?

Some dental problems involve deeper structures such as bone, nerves, joints, or facial anatomy. These cases require the expertise of an oral and maxillofacial surgeon.

Oral surgeons provide care for:

  • Surgical tooth extractions, including wisdom teeth removal
  • Dental implant placement and bone grafting
  • Full-arch implant solutions such as All-on-4®
  • Sedation dentistry and general anesthesia
  • Jaw surgery to correct bite or facial alignment problems
  • Treatment of facial trauma and fractures
  • TMJ surgical procedures
  • Diagnosis and biopsy of oral pathology, including suspicious lesions

Oral surgeons complete dental school followed by several additional years of hospital-based surgical and anesthesia training.

How Dentists and Oral Surgeons Work Together

In most cases, a general dentist serves as the first point of contact and evaluates whether a condition can be managed in the dental office or requires specialist care. When surgical expertise is needed, the dentist refers the patient to an oral surgeon for further evaluation and treatment.

Oral surgeons become involved when care includes:

  • Impacted or difficult tooth extractions
  • Dental implant surgery
  • Jaw-related conditions requiring surgical evaluation
  • Facial injuries or trauma
  • Oral biopsies
  • Procedures requiring IV sedation or general anesthesia

After surgical treatment is completed, patients often return to their general dentist for ongoing maintenance and follow-up care. This coordinated approach allows each provider to focus on their area of training while ensuring continuity throughout treatment.

Next Steps for Complex Dental Concerns

If you have been told you may need oral surgery or are experiencing symptoms that go beyond routine dental care, an oral surgeon can provide clarity and direction. 

Patients may schedule directly, or a referral can be submitted by a general dentist or primary care provider.

To schedule a consultation at our Mesa, North Mesa, Tempe, Queen Creek, and Show Low. locations, call or text (480) 830-5866. 

FAQ

Can a general dentist perform surgery?

General dentists perform minor procedures such as simple extractions, but complex or surgical cases usually require an oral surgeon.

Do I need a referral to see an oral surgeon?

Some insurance plans require a referral, but many patients can schedule directly, especially for known surgical needs.

Who places dental implants, a dentist or an oral surgeon?

Dental implant treatment is coordinated between an oral surgeon and a general dentist. The oral surgeon is responsible for surgically placing the implant, while the general dentist plans and completes the final restoration. This collaborative approach supports proper healing, function, and long-term outcomes.

Is oral surgery always done under general anesthesia?

Oral surgeons offer multiple anesthesia options, including oral sedation, IV sedation and general anesthesia, depending on the procedure and patient needs.