The Role Of the Dentist, Orthodontist, and Oral Surgeon In Dental Implants

By Ali Y. Ghatri, DDS

Part 2

Dental implant procedures are complex and require the expertise of multiple dental professionals, each contributing their unique skills to achieve a successful and long-lasting result.

The general dentist typically serves as the primary point of contact. They initiate the diagnostic process, evaluate overall oral health, and determine whether the patient is a candidate for implants. The general dentist also handles initial care such as extractions, treatment of decay, or periodontal therapy. Once the need for collaboration is identified, the dentist coordinates referrals to the appropriate specialists.

An orthodontist may be involved early in the planning process, particularly if teeth have shifted into the space of a missing tooth or if bite alignment needs correction. Strategic tooth movement is often essential before implant placement, especially since implants, once placed, are immovable. Orthodontists use tools like braces or clear aligners to create optimal spacing and alignment, not just for aesthetics, but also to ensure the long-term success of the implant.

The oral surgeon is responsible for the surgical phase of treatment. This includes placing the titanium implant post into the jawbone with precision, sometimes performing additional procedures such as bone grafting or sinus lifts when necessary. Their goal is to ensure a solid foundation for the future restoration while minimizing surgical risk and promoting proper healing.

In some cases, the oral surgeon may also consult with a periodontist to manage the health and shape of the gum tissue surrounding the implant. This is especially important in patients with a history of gum disease or when aesthetics are a priority in the smile zone.

Once the foundation is secure, the general dentist may work with a prosthodontist to design and place the final restoration—typically a crown, bridge, or denture. Prosthodontists specialize in restoring function and appearance with high-precision prosthetic teeth.

While collaboration between providers was introduced in the first article, this second part highlights the distinct roles each professional plays during the process. The timing and sequence of care matter, and it’s often the general dentist who coordinates this multidisciplinary effort to ensure that every stage of treatment is integrated, efficient, and tailored to the patient’s needs.