i) Local Anaesthetic
or
ii) Conscious Sedation
The following Procedures;
• Symptomatic wisdom teeth removal.
• Removal of fractured teeth and roots.
• Referral of failed extractions.
• Removal of displaced roots or teeth from the Sinus.
• Soft tissue surgery
If any of the above procedures might jeopardize the safety of the patient , the clinic will then re-refer to the appropriate Hospital setting
1) Paediatric Referrals-five years and older ,minimum of 20 kg.
i) Conservative dentistry –extractions, pulpotomies, etc.
ii) Minor oral surgery – frenectomies , orthodontic exposures,removal of submerged baby teeth
2) Adult patients that is in need of multidisciplinary dental treatment. (Minor oral surgery and Conservative dentistry)
i) These types of patients are seen by different dentists, on different lists-simple and complex wisdom teeth, fractured root removal, retained roots,root removal fom the sinus, and if the referral is appropriate,treatment can be combined with conservative treatment on the same day.
ii) Some of these patients only require conscious sedation for the oral surgery component of their treatment.
iii) Not all oral surgery patients need to be sedated either.
3) Adult Patients-Conservative Dentistry.
i) Nervous / Phobic Patients – requiring complex conservative treatment : most of these patients have not received any dental treatment for years !
• It is not appropriate to get the patient dentally fit in 1 or 2 Sedation sessions…that should be done (referred to) by dental teaching Institutes.
• The main complaint of the patent should be treated initially.
• Before any other complex treatments are carried out, the oral hygiene should be to an acceptable standard.
The success rate of restorative treatment in these cases is compromised.
• Anterior, posterior restorations.
• Selective crown and bridge work.
• Root canal treatment of pre-molar teeth; and all anterior teeth where there is evidence that the referral dentist attempted treatment under local.
• Molar Root Canal Treatment: Only Initial Root canal treatment (open and drain) in cases where local anaesthetics fail due to an acute pulpitis. (abscess)Molar Root Canal treatment is not predictable at all.
