Oral surgery schematic guidelines - NHS Cumbria

CUMBRIA ORAL SURGERY CLINICAL NETWORKNHS ORAL SURGERY REFERRAL GUIDELINESIntroductionThis referral pack has been further developed to support practitioners in makingappropriate referrals to oral surgery services following the development of new Minor OralSurgery (MOS) Services and the establishment of the Cumbria Oral Surgery ClinicalNetwork.The service model has been designed to ensure that relatively straight forward minor oralsurgery, above the competence level of GDPs but not requiring the advanced skills ofhospital consultants, can be done by accredited Dentists with Special Interests in aprimary care setting in a more convenient location for patients.Across Cumbria there are two Oral Surgery and Maxillofacial providers and a number ofMOS service providers.The care pathways and guidelines have been reviewed and agreed by the network,following a formal review of the initial six month period of the service, and this packcontains an outline of the clinical conditions suitable for treatment by the different providersand the revised process and documentation to be used in making referrals.The overall pathway is shown at Appendix 1 and the agreed referral guidelines are asfollows:-GDP MOS Service Provider Oral Surgery andMaxillofacial ProvidersRoutine extractions andsimple dento alveolarsurgery within thecompetency of a GDPGeneral Dentistry in linewith NICE GuidelinesManagement of minordental traumaComplex extraction of singleand multi-rooted erupted teethExposure of teeth if palpableRemoval of buried roots andfractured or residual rootfragmentsRemoval of simpleimpacted/ectopic/supernumaryteethRemoval of simple mucocoeleSurgical endodontics (practicedependent)The above possibly requiringsedation (practice dependent)Advice onlyRemoval of compleximpacted/ectopic/supernumaryteethExposure of teethManagement of soft tissueproblemsManagement of cranio-facial painRemoval of simple fibro-epithelialpolypsRemoval of uncomplicateddenture induced mucosalhyperplasiaThe above possibly requiringsedation or GAAny other oral or maxillofacialconditions3