Do We Refer Out and Why?

Why a dental referral to a specialist?

Dr. Ryan Lepore plays a critical role in the oral health of his patients. However, in certain circumstances it may be crucial for a patient of his to be seen by a specialist as part of their treatment. It is the responsibility of every dentist to know when it’s appropriate to treat a patient and when to work in tandem with a specialist. The dental industry, like the medical industry has undergone a major transformation in the past years, becoming more and more specialized. This has enabled the providers to deliver a more custom level of care with the highest quality. General dentists perform a variety of procedures that are suited to their skill levels and preference of treatment, however no two general practitioners practice the same. The general practitioner plays an integral role as the first point of contact and provides quality dental care that is within the scope of their training, expertise, and experience. For more specialized care that is not within their expertise, they will refer to dental specialists to ensure the best result for you, the patient. The motivation behind coordinating therapy among various experts in specific fields of dental medicine is to adequately support the patient’s overall dental health care while maintaining the highest standards in the industry. For example, general dental practitioners may refer to an endodontist, periodontist, orthodontist, or oral surgeon, etc. 

Do You Refer Out & Why?

Benefits of Referring Other Specialists - Dr. Lepore
Dr. Ryan Lepore believes in specializing in certain aspects of dentistry and perfecting it. At the same time at Lepore Comprehensive Dentistry, we want to give you the best customized clinical plan for your dental needs. This is why, over the years, Dr. Lepore has assembled a team comprising several specialists who are renowned in their fields to help him provide you with comprehensive dental care that doesn’t look at just your smile but YOU as a whole.

Hey everybody, Dr. Lepore here again with another question I think that I get asked every single day. So I wanted to bring it to a video topic for you.

“Do I refer things out or do I try to keep as much as possible in-house?” And I think that is a very loaded question. It’s worth some time to talk about it. Over the last few years, I wanted to instill some confidence in you that I have not just got a bunch of referral pads from people to buy me lunch every single day or try to earn my trust. I have assembled a team of people in different specialties in dentistry and in medicine that I would go personally see or send anybody I love and care about.

But why do I do this? And I think of an analogy of contracting on a house. I want my plumber doing the plumbing. I want my electrician doing the electricity. I don’t want my plumber doing the electricity work. And if you think about it from that perspective, my dad used to say, you can only be so good with so many things. It’s really impossible to be excellent at a ton of things. So what I’ve done over the last couple of years is I’ve gotten a root canal specialist, periodontist, someone to move your teeth like an orthodontist, pediatric dentist or primary care physicians, all on a team that I could call at six o’clock at night or eight o’clock in the morning to really plan your case custom for you to get the best treatment for you.
I’m a big fan of staying in your lane, so while I take a ton of continued education, I take it in certain disciplines and I stay in that lane and I make sure that I’m the best possible caretaker for you in that lane. However, I have a team of people that might be better at certain things, and I think it’s really important to humble yourself as a professional and as a practitioner or more importantly, to make sure that your treatment is truly the best. And what is the best? The best means that it’s going to look good. It’s going to feel good. And it’s going to last a long time. So if I know in my heart of hearts that I need a specialist to do my work, if I would go to an orthodontist to handle my braces, if I would go to a periodontist to handle my gums, then why should it be any different for you as my patients?

So have confidence when you get that referral piece of paper that it’s not just me saying, “Go see this person, they’ll figure your problem out”. They’re just gonna be part of your clinical team to get you the best comprehensive care that you possibly can to make things last as long as possible. I hope I answered this question. I hope you have confidence in the team that I’ve taken so much care and time in trying to assemble over the last couple of years, because I know that that’s who I would go to.

Why does Dr. Lepore himself work with specialists?

Earlier in his career, Dr. Lepore made a vow that he would only treat his patients to the standard of care to which he would expect for himself or his family.

In reflection he says, “If I myself wouldn’t go to a general dentist to have a root canal completed, and instead would insist on going to a specialist, why should I treat my patients any different?”

What does this mean if you’re being referred to a specialist?

It’s understandable that as a dental patient of Dr. Lepore, you might feel cautious about going to see yet another doctor in a different location. Referring you to a specialist is not a decision that Dr. Lepore takes lightly. He fully believes in providing you with the best care for long term oral and systemic health. The specialists on his team are practitioners that he himself would feel confident working on him. Dr. Lepore often says to our patients, “This type of referral is not like your standard medical referral whereby you’re handed a piece of paper and told to schedule an appointment. These specialists are people that I have worked so closely with, that I can call them at 6pm on a Sunday to discuss your specific case. Our team knows their teams as much as they know ours.”

You may be referred for the following treatments:

During and After a Referral to a Specialist 

During your dental care, your specialist and Dr. Lepore stay in constant contact regarding your treatment progression, and our team makes sure that you come back to us to receive your follow-up care. 

Learn more about the specialists that Dr. Lepore works closely with:


Dr. Richard Rasmussen III

Why Dr. Rick thinks Lepore Dentistry is the best!

Healthcare Professionals Testimonial - Dr. Richard
Dr. Rick Rasmussen has known Dr. Lepore for quite some time ranging back to college years, where Dr. Lepore’s extraordinary skill and commitment to the profession came to light. Dr. Rick speaks about how Dr. Lepore stood out from his colleagues by always investing his time to improve and better himself whilst striving to do and be the best dentist in his class.

My name is Dr. Rick Rasmussen and I am a periodontal surgeon in Tampa Bay and my surgical specialty focuses on the surgical management of basically treating the bone and the gums around the teeth – the place with the dental implants as well as the treatments with periodontal disease and I have been very fortunate to work with doctor Lepore for the past seven years. Unique story – I actually first met Dr. Lepore when I was a resident at the university of Florida Shane’s hospital and Doctor Lepore was a fourth year dental student and what really impressed me about Dr. Lepore at the time was that unlike al the other dental students he was the only dental student in the class that spent the extra time to come after school after work he came ad he would shadow me during surgeries and he would ask me a lot of questions and it was very obvious that Dr. Lepore wanted to be the best dentist in his class and he was just very very interested and passionate about dentistry as a whole. Fast-forward ten years and Dr. Lepore and I happen to be in the same city in Tampa practicing in a private practice and simply put nothing has changed. As a specialist I work with hundreds of different dentists in the area doing mutual patient care and out of all those dentists doctor Lepore to this day is still the dentist who I would honestly say spends the most time and the most effort per patient when it comes to corresponding on patients, when it comes to treatment planning cases, when it comes to discussing cases – and that makes a big big difference in comprehensive care and I believe that Doctor Lepore is a very knowledgeable dentist, I believe that he is a very personable dentist but above all else in y opinion I think that what separates Doctor Lepore from any other dentist is the level of commitment he provides to each individual patient and I can attest that he treats every patients like his family member – he knows, and I know this as well that when a patient walks in his door they will receive the best possible care and they will receive the best possible outcome


Dr. Robert Haller


Dr. Nicolas Mann

Dr. Jeremy Albert

Airway-Driven Orthodontics:

Dr. Alex Johnson

Oral Surgery:

Dr. Shaun Young

Dr. Shaun Young talks about his professional relationship with Dr. Lepore

Dr. Shaun's professional relationship with Dr. Lepore
Dr. Shaun walks us through his 3 years of work experience with Dr. Lepore and admires him for his passion, skill and holistic approach in treating his patients. He finds Dr. Lepore to be very innovative in terms of sequencing his treatment to give the patient real value for money when it comes to his treatment and care.

Hey everyone, my name is Dr. Shaun Young. I am an oral and maxillo facial surgeon and I have been working with Doctor Lepore for almost 3 years now so I understand his patient philosophies and he is someone I really trust and I think the thing I love most about working with him is that he is very thorough and comprehensive – I know that he is always going to look at the big picture and he is always going to do what is best for his patients. I think Dr Lepore has sort of a unique practice philosophy and he is one of the very few dentists that I know who really has a very holistic approach and I know he communicates very well with any internal medicine doctors and so he sort of takes a very systematic approach to his oral care which I think is very important as obviously more studies are showing and the longer that these things start coming out we are learning more about importance of overall health care when it comes to your mouth so I think doctor Lepore’s approach to that is very innovative and he has a very holistic approach and that definitely is something that sets him apart from most dentists. I think the more specialists that doctor Lepore sends his patients to it sort of helps to support his reasoning for why he is sequencing treatment the way he is, why the foundation needs to be set properly before the definitive elective work and I think he has got a great network of people that he is working with – before I see any patients of Dr. Lepore, he will always send me a letter ahead of time sort of introduce the patient to me, and if the patient has already seen another physician, even a family medical doctor then, he will give me the insight on what is going on, so he has a very nice way of sort of introducing the patent ahead of time so I understand what the process is and why the patient is coming to see me, what is needed, what the goals are and I think that type of communication really helps the patients to trust you because before they even come in you sort of already have a foundation as to why the patient is there and that- as a patient you know you can’t really ask for anything more than that. You know I think first and foremost any physician that I would ever want to refer somebody to or work with is someone that I know has my best interest at heart and somebody that I trust. One of my biggest practice philosophies is to treat any patient like you would treat a family member and I believe that doctor Lepore does that – I trust him to treat myself or any family members I might have – I know that he is always going to do the right thing and to me that is very important.

Dr. Michael Yuan

Pediatric Dentists:

Drs. Maggie Davis and Lorielle Alter

Dr. Maggie Davis provides us with some insight into her professional relationship with Dr. Lepore

Healthcare Professionals Testimonial - Dr. Maggie Davis
Dr. Maggie Davis is a firm believer in the work ethic and comprehensive dentistry principles that Dr. Lepore follows. She appreciates how much effort he puts into staying abreast of any advancement in the field of dentistry and how he truly cares for the wellbeing of his patients.

The things I love most about working with Doctor Lepore are that he is very thorough and comprehensive, yet he is extremely easy to talk to. As a family man, you can tell that he really truly care about his patients. Things that separate Dr. Lepore from other dentists that I work with is that Dr. Lepore is constantly learning. He also sees that value in working with other professional’s in the team; you can find him on the weekends going to CE courses, travelling always trying to serve his patients better and in serving his patients better, that often means working as a team. Doctor Lepore doesn’t have an ego or an agenda. He simply wants what is best for his patients. Working with doctor Lepore in an interdisciplinary approach is really optimal for patient care. Our training and dental school is broad but that doesn’t make it specialized so it is just like building a home – you wouldn’t enlist just one person to build it from top to bottom. Our mouth is very complex with our gums and teeth and even patient-level anxiety. Dr. Lepore recognizes and sees the value in this to achieve optimal results. Dr. Lepore and I worked really well to optimize patient care by picking up the phone after hours. Dr. Lepore is never shy to give up his personal time to work with members of the community and members of the dental community so that when I was one of the patients in his office I already knew everything about them that he is taking me from start to finish in the thoroughness of his letter and phone calls to me so that I know how the patient is feeling what are they desire, what is it that he sees so that when they come into my office I can take his pediatric patients and deliver the best-tailored care for them. Dr. Lepore is excellent at wanting the best for his pediatric patients when it comes to comfort and sometimes that means when you have a three-year-old with 6 cavities there might be a different place where they are best served! Dr. Lepore as a dad himself understands that every dental experience should be like Disneyland for a child.

TMJ Specialists:

Dr. Robert Chuong  –

When you are a patient of Dr. Lepore’s, have piece of mind that he is not only doing what is in the best interest of his patients, but he is also confident that his patients are in good hands.


There was an insurance billing issue, but they made it right in the end. The level of care received here was excellent.

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