While both orthodontists and general dentists are trained dental school graduates, the focus of their specialized practice differs significantly. This distinction in training and scope of work clarifies who is responsible for procedures like routine dental fillings. Understanding this difference is key to ensuring you seek the correct care for your specific oral health needs.
The Primary Role of an Orthodontist
An orthodontist is a dental specialist whose practice focuses solely on the diagnosis, prevention, and correction of misaligned teeth and jaws. They treat malocclusions, commonly known as bad bites, and address dentofacial orthopedics, which involves guiding facial growth and development.
The path to becoming an orthodontist requires education beyond the four years of general dental school. Following their Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree, a prospective orthodontist must complete an accredited, full-time residency program. This specialized training lasts an additional two to three years, focusing intensely on biomechanics, growth and development, and the application of corrective appliances. The American Dental Association (ADA) recognizes orthodontics as a specialty area, allowing these practitioners to master the complex biological processes required to move teeth safely and effectively.
Who Performs Dental Fillings?
The provider primarily responsible for procedures like dental fillings, routine cleanings, and extractions is the general dentist. A general dentist is your primary oral healthcare provider, offering a wide range of services to maintain overall oral health. Their scope of practice includes preventative care, diagnosing and treating common dental diseases, and performing restorative procedures.
Restorative dentistry, which includes placing fillings to treat tooth decay, falls within the general dentist’s expertise. They are trained to manage issues like cavities, gum disease, and minor cosmetic work. While all dentists initially receive general training in restorative techniques, the orthodontist specializes away from this focus, dedicating clinical time to alignment and bite correction. Consequently, the typical orthodontic office is not equipped to handle the full scope of restorative care.
Specific Instances Where an Orthodontist Might Intervene
While an orthodontist’s focus is not restorative, there are specific, limited situations where they might perform a minor procedure. The most common instance involves the removal of residual dental adhesive or bonding material after the orthodontic appliance, such as braces or retainers, is taken off. This clean-up process often involves polishing the tooth surface.
In the case of a dental emergency or during treatment coordination, an orthodontist may place a temporary restoration. This is a provisional measure, such as a temporary filling or cement, to protect a tooth until the patient can be seen by their general dentist for a permanent solution. The specialist and the general practitioner frequently work together in a collaborative care model, where the orthodontist refers the patient back to their dentist for any necessary permanent fillings or comprehensive restorative treatment.