Dr. Richard Feinberg
Choosing a dentist can feel strangely difficult. Most offices have polished websites, good photos, and pages full of dental services, yet those things tell you very little about how the doctor actually thinks once you’re in the chair.
That becomes especially important when your case is complex. A routine cleaning and a full-mouth reconstruction ask very different things of a clinician. If you’re dealing with failing dental work, missing teeth, bite problems, or a case that has already been treated more than once, it makes sense to look deeper before you choose who will handle it.
So, if you're not sure how to vet a dentist, I’d recommend starting with training, then paying close attention to how they examine the problem, explain their thinking, and build the treatment plan.
Every licensed dentist completes dental school and meets the requirements to practice. From there, training can vary quite a bit.
A prosthodontist, for example, completes three additional years of advanced specialty training after dental school, with a focus on restoring and replacing teeth, managing complex bites, and planning cases involving implants, crowns, bridges, and dentures. Prosthodontics is a dental specialty recognized by the ADA, and that extra training is one reason patients with complicated restorative needs may be referred to a specialist.
Board certification adds another layer. The American Board of Prosthodontics evaluates qualified prosthodontists through a formal certification process designed to assess specialty-level knowledge and proficiency. A prosthodontist who successfully completes that process becomes a Diplomate of the Board.
I’m Board Certified by the American Board of Prosthodontics, and I think patients have every right to ask what a credential actually means. Titles should be easy to verify and easy to explain.
Skill shows up early in the appointment, often before any procedure begins.
A good exam should feel thoughtful. If you’re coming in because a crown keeps breaking, for example, the conversation should reach beyond the crown itself. I want to understand why the failure keeps happening. That may bring the bite into the discussion, along with the supporting teeth and the condition of the surrounding structures.
This is where experience becomes visible. An experienced dentist should be able to connect what you’re feeling with what they’re seeing, then explain it in language that makes sense. You should leave the office understanding the problem more clearly than you did when you walked in.
That ability to diagnose the whole case becomes especially important when several procedures may be involved. Complex dentistry tends to punish shortcuts.
A useful question is, “Why are you recommending this?”
The answer can tell you a lot.
Good dental care usually involves choices. One tooth may be repairable with a conservative restoration, while another may need a crown. A failing tooth may still have enough structure to save, or the case may be better served by replacement. The doctor should be able to explain what they see, why one option fits the situation better, and what trade-offs come with it.
I’m especially interested in preservation. If healthy tooth structure can stay, I want to keep it. That philosophy affects how I prepare teeth, how I select materials, and how I plan long-term care.
The same thinking applies when a patient needs specialty care outside my area. A strong clinician should know when another specialist belongs in the case and should feel comfortable making that referral.
Modern dentistry has incredible technology, from digital scans to same-day restorations. I use it every day. The machine still needs judgment behind it.
Take a same-day crown. Software can generate a design, but I still review the contacts, the bite, the margins, and the shape before the restoration is finished. I may override what the software suggests because the computer sees measurements while I’m thinking about how the restoration needs to function inside that particular mouth.
When you’re comparing offices, ask how the technology is actually used. You’ll learn much more from that conversation than you will from a list of equipment on a website.
Years in practice can tell you something, though the type of work a doctor does every day tells you more.
If you need implant reconstruction, ask how often the doctor manages similar cases. If you’ve had dental work fail several times, ask whether they routinely treat revision cases. You can also ask who handles each part of the process, especially when the case involves a surgeon, laboratory, or another team member.
A doctor who regularly treats cases like yours should be able to talk through the details without making the conversation feel rehearsed. They should also be comfortable discussing complications and what they do when a case behaves differently than expected.
Online reviews can help you understand how an office communicates and how patients feel about the overall experience. I’d read them for patterns rather than chasing a perfect score.
Pay attention to how people describe the doctor’s communication and whether they felt informed throughout their care. For complex treatment, it can also be useful to see whether patients mention long-term follow-up and how the team handled concerns after treatment was complete.
Then bring your own questions to the consultation. Your case is more important than somebody else’s review.
A good consultation should leave room for a real conversation. Ask about training. Ask what the doctor would do if you were a member of their own family. Ask how many similar cases they’ve managed and what they see as the biggest concern in yours.
You should also feel comfortable slowing the conversation down if something doesn’t make sense. Dentistry can get technical quickly, especially once bite mechanics, implants, or restorative materials enter the discussion. A skilled doctor should be able to explain complicated things simply.
That is one of the clearest signs I look for in any health professional I choose for myself.
The right dentist should give you more than a menu of services. They should give you a clear understanding of your own mouth and a plan that feels connected from beginning to end.
For straightforward care, that may be simple. For a complicated case, training and specialty experience become much more important. Board certification can be verified through the American Board of Prosthodontics, and specialty credentials should always stand up to the same kind of scrutiny.
Take the time to ask. Look at how the doctor thinks. Pay attention to whether the explanation feels complete.
Your oral health is too important to choose a dentist based on a nice website alone.
The first step towards a beautiful, healthy smile is to schedule an appointment.
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