When to See a General Dentist vs. a Maxillofacial Prosthodontist

You know you need dental care, but you’re not sure who to call. The dental world has a lot of specialists, and knowing who handles what can save you time, money, and a whole lot of confusion. The good news is that the answer is simpler than you think, and getting matched with the right provider from the start makes a real difference in your results, especially when you’re trying to decide between a general dentist and a maxillofacial prosthodontist.

At Ocean Breeze Implant & Esthetic Dentistry in Delray Beach, we offer both general dentistry and advanced prosthodontic treatments under one roof. Led by Dr. Nicholas Goetz, one of only about 150 maxillofacial prosthodontists practicing in the entire United States, our team is equipped to handle everything from routine checkups to the most complex oral rehabilitations imaginable.

What a General Dentist Does

A general dentist is your primary care provider for oral health. Think of this type of provider the way you think of your family doctor. They handle the everyday, preventive, and foundational aspects of keeping your mouth healthy. Dental checkups and exams, cleanings, fillings, and straightforward tooth extractions all fall squarely within their scope.

General dentists are the right choice for most people in most situations. If your teeth are generally intact and your concerns center on maintenance, minor decay, or common issues like a chipped tooth or requiring a nightguard, a general dentist is who you need. They build long-term relationships with patients and serve as the first line of defense against developing problems.

What a Maxillofacial Prosthodontist Does

A maxillofacial prosthodontist takes things to an entirely different level. According to the American Dental Association, maxillofacial prosthetics training equips the specialist with the skills to treat certain medically complex patients, including those who have required surgical resection of facial structures and need prostheses to replace them. This is a level of training that goes far beyond what any general dentist receives.

After completing dental school, a maxillofacial prosthodontist spends years in additional residency and fellowship programs focused exclusively on complex oral rehabilitation, missing teeth, full-mouth reconstruction, and craniofacial prosthetics. The cases they treat often involve cancer patients, trauma survivors, individuals with congenital conditions, and anyone who has experienced severe tooth and bone loss. These are not cases a general dentist is trained to manage.

How to Know Which Provider You Need

The line between these two providers is easier to identify than most patients expect. If you are dealing with any of the following, a general dentist is likely your starting point:

  • Routine cleanings: Preventive care and standard hygiene visits
  • Minor decay: Cavities, small fillings, and basic restorations
  • Common concerns: Teeth whitening, sealants, clear aligners, and simple extractions
  • General oral health: Oral cancer screenings and fluoride treatments as part of ongoing care

A maxillofacial prosthodontist is the right choice when the complexity of your case exceeds what general dentistry offers. If you are missing multiple teeth, need dental implants, are rebuilding your bite after trauma, or have a history of oral cancer treatment, you need the kind of specialist-level care that only this type of training provides.

When One Provider Can Offer Both

Not every dental practice draws a sharp line between general and specialty care. At Ocean Breeze, our approach bridges both worlds. We see patients who need a routine maxillofacial prosthodontist in Delray Beach and patients who simply want to establish care with a trusted general dental provider. In either case, having access to a maxillofacial prosthodontist means that if something unexpected comes up during your care, the expertise to handle it is already in the room.

This matters more than many patients realize. General dentists refer out complex cases all the time because it goes beyond their general practice training to address them. When your care provider has advanced specialty training from the start, you get a level of diagnosis and treatment planning that goes far deeper than the standard.

Choose Ocean Breeze Implant & Esthetic Dentistry

Dr. Nicholas Goetz completed his dental education and specialty residency at the University of Florida, followed by a Maxillofacial Prosthodontics Fellowship at UCLA. He then went on to serve as a civilian maxillofacial prosthodontist for the US Army and the VA Medical Hospital, building experience across some of the most complex dental cases in the country. That breadth of training and real-world clinical experience is what separates our care from what you will find at most practices.

Whether you are coming to us for your first cleaning or a full-mouth rehabilitation, we meet you where you are and build a plan around your actual needs. We file insurance claims on your behalf and work to help you maximize any PPO benefits you may have. To get started with a provider who can handle both routine care and the most complex cases in dentistry, contact our team today.

Legally Reviewed By:

Dr. Nicholas Goetz

Dr. Nicholas Goetz combines the warmth of a family dentist with the advanced skills of a board-certified Prosthodontist and Maxillofacial Prosthodontist. This unique combination means your family receives gentle, personalized care backed by exceptional clinical expertise.

 

With over 13 years of experience treating patients of all ages, Dr. Goetz understands that every family member has different needs. His approach focuses on building trust, especially with children and anxious patients, while delivering the highest quality dental care. Whether performing a child’s first cleaning or complex full mouth rehabilitation, Dr. Goetz takes time to listen, explain procedures clearly, and ensure every patient feels comfortable.

 

His advanced prosthodontic training means even complex cases can be handled in-house, eliminating the need for referrals and keeping your family’s care coordinated and convenient.

Get In Touch

Request an Appointment

**Requested time is not final until you receive confirmation from our office. Please do not submit any Protected Health Information (PHI).

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Are you a New or Existing Patient?
AM/PM