General Dentist vs. Specialist: When You Need to See Each
## The Dental Specialties Explained
The American Dental Association recognizes nine dental specialties. Here is when you need each one.
### Orthodontics
Corrects misaligned teeth and jaws using braces, clear aligners (Invisalign), and other appliances. See an orthodontist if your bite is off, teeth are crowded, or for cosmetic alignment correction.
### Oral & Maxillofacial Surgery
Handles complex extractions (impacted wisdom teeth), jaw surgery, dental implant placement, facial trauma, and biopsies. Your general dentist will refer you when a procedure exceeds outpatient scope.
### Periodontics
Focuses on the gums and supporting bone. See a periodontist for gum disease treatment, deep cleaning (scaling and root planing), gum grafts, and implant placement by a specialist.
### Endodontics
Root canal specialists. See an endodontist for complex root canals, retreatment of failed root canals, cracked teeth, and dental trauma to nerves.
### Pediatric Dentistry (Pedodontics)
Specialized training in dental care for children from infancy through adolescence, including patients with special needs. Pediatric dentists have child-friendly offices and training in behavior management.
### Prosthodontics
Specialists in restoring and replacing teeth — crowns, bridges, dentures, implant-supported restorations, and complex full-mouth rehabilitation.
### Dental Public Health, Oral Pathology, Oral Radiology
Less commonly encountered in private practice — these specialties focus on community health programs, tissue disease diagnosis, and advanced imaging respectively.
## When Your General Dentist Will Refer You
- Impacted wisdom teeth requiring surgical extraction
- Orthodontic evaluation for children or adults
- Moderate-to-severe gum disease (periodontitis)
- Root canal retreatment or complex anatomy
- Full-arch tooth replacement (implants)
- Suspicious oral lesions requiring biopsy
Frequently Asked Questions
What can a general dentist do vs. a specialist?
General dentists handle preventive care, cleanings, fillings, simple extractions, crowns, bridges, and basic root canals. Complex cases — impacted wisdom teeth, orthodontic treatment, gum disease treatment, root canal retreatment — are typically referred to specialists who have completed 2–3 years of post-dental school training in their specialty.
Do I need a referral to see a dental specialist?
In most cases, no — you can contact a specialist directly. However, your general dentist's referral is valuable because it comes with diagnostic records, X-rays, and clinical context. Some dental insurance plans require a referral for coverage of specialist visits.
How do I find a dental specialist near me?
The Dentist Ranker lets you filter by specialty — orthodontics, oral surgery, periodontics, endodontics, pediatric dentistry, and more. You can also ask your general dentist for a referral, which typically comes with records forwarded to the specialist.