Oral Surgeon or General Dentist?
After dental school a dentist must complete four to six years of hospital based internship and oral surgery school to become an oral surgeon. They perform a wide scope of procedures like facial trauma, bone grafting, dental implant surgery, jaw reconstruction etc. being wisdom teeth extractions one of them.
In fact, they perform literally more wisdom teeth extractions during their residency than a general dentist does in his whole career.
Unlike general dentists, oral surgeons are trained and certify to use IV Sedation, General Anesthesia, Basic and Advanced Cardiac Life Support, and due to the nature of their specialty they use it on a daily basis. Besides they count with sophisticated gear and resuscitation equipment.
General dentists don’t necessarily have this qualifications and will extract teeth with the same local anesthesia they use to fill a cavity.
Many of them use an independent anesthetist and even part time oral surgeons but hardly count with the equipment and gear as an oral surgery facility does.
IV Sedation is no doubt the best option for the most comfortable procedure and using an oral surgeon is your best and safest choice.
Even the most “routine” teeth extractions can become complicated. Teeth may break off or fracture in the middle of a procedure. Bone or tissue may require removal, etc. These complications are not identifiable until the surgery has begun and an oral surgeon has the tools and skills to address the complication right away.
Impacted teeth, teeth or bone infections, entangled or curved roots .and others can all be considered complex extractions and should be handled safely by an oral surgeon.
If your dentist recommends an oral surgeon, always follow the advice. This means the extraction is beyond the scope of the dentist’s capabilities and requires expert knowledge.