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Bolton Community Dental Service – Lever Chambers

Services covered: Community Dental Services

What services are offered?

  • Domiciliary
  • G. A. Referrals

Which services are not offered?

  • Anterior Apicectomies under sedation
  • Complex Medical Histories
  • Complex Oral Medicine
  • Complex Surgical Extractions
  • HSC Cancer Referrals
  • Inhalation Sedation
  • 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?

DOMICILIARY
A housebound (especially bedridden) patient who cannot get out to attend a dental surgery and who would also meet the Special Care referral criteria for the CDS – i.e. care could not be provided by a GDP who undertook a domiciliary visit because the patient required the specialised clinical skills of CDS staff.
An assessment visit is offered. Active treatment usually provided in the clinic, ambulance transport arranged.

GA REFERRALS
Routine exodontia under GA for children – Referrals for simple extractions under GA in children will be accepted if they comply with the following criteria:
• Children between the ages of 2 years and 16 years
• Weight between 5th and 95th centile
• ASA 1 and 2 Simple exodontias only
• Parents / Carers have to be able to conform to pre and post operative instructions.

PAEDIATRIC REFERRALS
Referrals are for children experiencing toothache for whom:
• Local anaesthesia (with or without, as appropriate, inhalation sedation) has been offered but proved inadequate or unsuccessful.
• Local anaesthesia is contra-indicated (e.g. in the presence of sepsis despite drainage)
• Multiple extractions in young or very nervous children who are experiencing pain from more than one quadrant.
• Where there is an established allergy to local anaesthesia.

GA – SPECIAL CARE
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.

What are the main reasons for rejecting patients?

Patients requiring routine check ups and simple dentures will not be accepted for domiciliary care.

Patients who can get out of the home to attend for other care such as podiatry, hairdressing appointments or social events will not be accepted for domiciliary care.

Who can use the service?

A bariatric wheelchair recliner and a bariatric bench are available.

The clinic is on the second floor, and the building has a medium sized lift.

Contact Details

Lever Chambers Centre for Health 27 Ashburner Street Bolton, BL1 1SQ

Phone
01204 403 215


Travel instructions

There is no parking at the clinic.

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