What Is a Prosthodontist? (And Why Would You See One?)

July 29th, 2026

If you've recently been referred to a prosthodontist, you're not alone in wondering what that means. Many patients have never heard the term until their dentist recommends seeing one for more complex restorative treatment.

A prosthodontist is a dental specialist with advanced training in restoring and replacing teeth. Whether you're missing teeth, dealing with worn or damaged teeth, considering dental implants, or planning a full-mouth reconstruction, a prosthodontist focuses on creating long-lasting solutions that improve both function and appearance.

At Wilmington Prosthodontics, Dr. Anna Mcilwain works closely with patients and referring dentists to develop personalized treatment plans designed around each individual's goals, oral health, and long-term success.


What Does a Prosthodontist Do?

After completing dental school, prosthodontists receive an additional three years of advanced specialty training focused on diagnosing, planning, and treating complex restorative and cosmetic dental conditions.

Their training centers on restoring the entire oral system—not just individual teeth. This often includes:

  • Replacing missing teeth with dental implants
  • Creating complete and partial dentures
  • Restoring damaged teeth with dental crowns
  • Designing implant-supported dentures and All-on-X restorations
  • Rebuilding worn or damaged bites through full-mouth reconstruction
  • Improving function and aesthetics through personalized smile design

Rather than focusing on a single procedure, prosthodontists look at how every part of your smile works together. This comprehensive approach helps create treatment plans that are comfortable, functional, and built to last.

Learn more about our approach to restorative dentistry, tooth replacement, and cosmetic dentistry.

Topic at a Glance

  • ✔ What prosthodontics is and why it matters
  • ✔ How prosthodontists differ from general dentists
  • ✔ Why patients are referred for specialty care
  • ✔ Conditions prosthodontists commonly treat
  • ✔ What to expect during your first consultation

Why Would Your Dentist Refer You to a Prosthodontist?

Many patients assume a referral means something is wrong or unusually complicated. In reality, referrals are simply part of providing the best possible care.

Just as your primary care physician may recommend seeing a medical specialist, your family dentist may refer you to a prosthodontist when advanced restorative expertise can help achieve the best long-term outcome.

Common reasons for a referral include:

  • Replacing one or more missing teeth
  • Planning for dental implants
  • Restoring severely worn teeth
  • Replacing older crowns or bridges
  • Creating comfortable, well-fitting dentures
  • Correcting bite problems
  • Coordinating treatment after dental trauma
  • Planning comprehensive full-mouth rehabilitation

Throughout treatment, your prosthodontist and general dentist often work together to ensure your care is coordinated from start to finish.


How Is a Prosthodontist Different from a General Dentist?

General dentists provide comprehensive dental care and play an essential role in maintaining lifelong oral health. They diagnose and treat a wide variety of dental conditions, perform preventive care, and complete many restorative procedures.

A prosthodontist builds upon that foundation with years of additional specialty training devoted specifically to restoring and replacing teeth.

While every patient's needs are different, prosthodontists are frequently involved when treatment requires detailed planning, multiple restorative procedures, complex implant rehabilitation, or comprehensive bite reconstruction.

Rather than replacing your relationship with your family dentist, prosthodontic care is often part of a collaborative approach that allows each provider to contribute specialized expertise.


Conditions a Prosthodontist Commonly Treats

Patients visit Wilmington Prosthodontics for many different reasons, including:

  • Missing teeth
  • Broken or severely damaged teeth
  • Worn teeth caused by grinding
  • Failing crowns or bridges
  • Ill-fitting dentures
  • Difficulty chewing comfortably
  • Bite alignment concerns
  • Congenitally missing teeth
  • Cosmetic concerns affecting the smile

Every treatment plan begins with understanding your oral health, your goals, and the options available to help restore comfort and confidence.

Patients with damaged teeth may benefit from restorative treatment, while those with missing teeth can explore personalized tooth-replacement options.


What Can You Expect During Your First Visit?

Your initial consultation is designed to answer questions—not pressure you into treatment.

During your visit, Dr. Mcilwain will:

  • Review your dental and medical history
  • Discuss your concerns and goals
  • Perform a comprehensive examination
  • Evaluate your bite and existing restorations
  • Review any necessary digital imaging
  • Explain available treatment options
  • Answer your questions so you can make informed decisions

Many patients are relieved to learn there are often multiple treatment options available. Care can be personalized according to clinical needs, lifestyle, timeline, and budget.

Consultations take place at our Wilmington prosthodontic office, where our team provides personalized care in a comfortable and welcoming setting.


Choosing the Right Specialist for Restorative Care

Restoring your smile isn't simply about replacing teeth—it's about improving comfort, function, confidence, and long-term oral health.

Whether treatment involves a single dental implant or a comprehensive full-mouth reconstruction, careful planning can make all the difference in creating results that look natural and function comfortably for years to come.

Working with a prosthodontist provides access to advanced training focused specifically on complex restorative procedures, giving patients confidence that every aspect of their treatment has been thoughtfully planned.


Ready to Learn More?

If you've been referred to a prosthodontist—or you're exploring options to restore your smile—Wilmington Prosthodontics is here to help.

Dr. Anna Mcilwain believes every patient deserves personalized care, thoughtful treatment planning, and solutions designed to restore both function and confidence. Whether your needs are simple or complex, we're committed to helping you understand your options and make informed decisions about your oral health.

Contact Wilmington Prosthodontics to schedule an appointment and learn more about your treatment options.