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Ashton, Leigh and Wigan Community Dental Service – Wigan

Services covered: Community Dental Services

What services are offered?

  • G. A. Referrals
  • Inhalation Sedation

Which services are not offered?

  • Anterior Apicectomies under sedation
  • Complex Medical Histories
  • Complex Oral Medicine
  • Complex Surgical Extractions
  • Domiciliary
  • HSC Cancer Referrals
  • IV Sedation
  • Multiple extractions under sedation
  • Orthodontic Exposures
  • Radiography
  • Restorative procedures under sedation
  • Routine extractions under sedation
  • Second Opinions
  • Simple surgical extractions under sedation
  • TMJ
  • Endodontics
  • Prosthodontics
  • Periodontics
  • Molar Endodontics Under Sedation
  • Difficult extraction of erupted teeth
  • Removal of buried roots and fractured root fragments
  • Removal of simple impacted teeth, including wisdom teeth
  • Removal of ectopic and supernumerary teeth
  • Surgical exposure of buccally displaced teeth with an orthodontic treatment plan
  • Surgical endodontics on anterior teeth.
  • Face to Face Restorative Triage Services
  • Anterior Apicectomies
  • Multiple extractions
  • Simple restorations – direct and indirect
  • Anterior endodontics
  • Simple extractions
  • Simple scaling and debridement​

What are the referral criteria for patients?

Comprehensive care under GA for Special Care patients.

• Age – all ages

• Disability – the patient has a physical disability, a significant learning disability, or behavioural problem which precludes care without the use of general anaesthesia.


Referrals will be accepted for treatment with Inhalation Sedation if they comply with the following criteria:

• Patient is 6 years old and over.The patients 18th birthday is our upper age limit for acceptance

• Patient is able to sit in the dental chair and comply for examination

• Patient requires restoration of permanent teeth

• Patient requires extraction of permanent teeth

• Patient has deciduous teeth causing pain

• Patient requires orthodontic extractions (with radiographs and copy of orthodontist’s treatment plan)

• Patient requires treatment due to trauma of permanent incisors  


• Adult patients clinically diagnosed as suffering from severe anxiety or phobia to dental treatment may be accepted for treatment if IV sedation is unsuitable.

• They should be under the care of an appropriate professional such as a clinical psychologist or another practitioner with similar expertise and qualifications.


• All patients are assessed and only offered IHS should this seem appropriate.

• Treatment by behavioural management would be offered in preference.

• Special care patients are accepted on general acceptance criteria and assessed clinically with regards to the appropriate use of inhalation sedation.

What are the main reasons for rejecting patients?

No domiciliary provision.

Patients requiring routine check ups and simple dentures will not be accepted for domiciliary care. A local GDP has the contract for routine domiciliary care. If the GDP assesses a patient and then determines the patient needs the specific skills of staff in the CDS they refer to the CDS.

Routine exodontia under GA for children is not carried out, these will be redirected to Royal Albert Edward Infirmary, Wigan via the referral management centre.

The following are not suitable for referral for Inhalation Sedation:

• Patients under the age of 6 years

• Patients unable to cooperate for a dental examination

• Patients with carious deciduous teeth that are symptomless and free from infection



Who can use the service?

A wheelchair recliner is available.

The clinic is on the first floor and the building has a small lift.

Contact Details

Pemberton Primary Care Resource Centre Sherwood Drive Wigan, WN5 9QX

01942 481 930

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