Your region

Bupa Dental Care – Peterborough

Services covered: Primary Care Level 1 & 2 Sedation, Primary Care MOS - Level 2

What services are offered?

  • Complex Medical Histories
  • Orthodontic Exposures
  • Multiple extractions

Which services are not offered?

  • Anterior Apicectomies under sedation
  • Complex Oral Medicine
  • Complex Surgical Extractions
  • Domiciliary
  • G. A. Referrals
  • HSC Cancer Referrals
  • Inhalation Sedation
  • IV Sedation
  • Multiple extractions under sedation
  • 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
  • Simple restorations – direct and indirect
  • Anterior endodontics
  • Simple extractions
  • Simple scaling and debridement​

What are the referral criteria for patients?

1.1 Adults and children aged 12 years and over will be accepted for this service.

1.2 Referrals are accepted for healthy individuals or individuals with mild systemic disease with no functional limitations (for example, controlled hypertension).

1.3 Patients who receive the following medication and are stable at the time of referral:

1.4 Patients with physical disabilities and those who are wheelchair bound (A hoist is available to assist patients into the dental chair).

1.5 The patient referral form must state whether the patient is an NHS or private patient.

1.6 Third molar surgery
Referrals should be limited to patients requiring the removal of symptomatic third molars that comply with NICE Guidelines and the Cambridgeshire and Peterborough Public Health Network Surgical Threshold Policy, namely teeth which require a simple surgical approach and include evidence of:
• Unrestorable caries;
• Non-treatable pulpal and/or periapical pathology;
• Abscess;
• Internal/external resorption of the tooth or adjacent teeth;
• Fracture of the tooth;
• More than one episode of pericoronitis.

1.7 Apicectomies
These procedures will be limited to:
• Incisors, canines and upper single rooted premolars with recurrent apical pathology not alleviated by repeated root canal therapy (RCT);
• Teeth that have satisfactory orthograde root filling in place, as indicated by a pre-operative periapical radiograph;
• Teeth not amenable to repeated RCT, for example if a satisfactory post retained restoration is in place.

1.8 Other Dento-alveolar Surgery
To include:
• Surgical removal of grossly decayed teeth;
• Removal of impacted teeth (not third molars). If this is part of an orthodontic treatment plan a copy of the plan or letter advising of the plan from a specialist orthodontist should accompany the referral;
• Removal of buried/retained roots that are symptomatic or are likely to become symptomatic, including failed extractions where the dentist failed to extract the entire tooth.

1.9 Urgent referrals
A referral may be highlighted as urgent if the patient has had recurrent infection that is not effectively managed using local and chemotherapeutic measures.

What are the main reasons for rejecting patients?

5) Exclusions – Treatment not covered under the new Minor Oral Surgery Service and requiring Treatment within the Dental Practice

5.1 Dental clearances involving multiple, straightforward extraction of carious/periodontally involved teeth.
5.2 Simple extractions of teeth for healthy individuals
5.3 Borderline eligibility referrals without accompanying radiographs.


6) Referrals to Oral and Maxillofacial department

6.1 Patients assessed by the Peterborough Community Specialist Dental Services, requiring treatment under a general anaesthetic;
6.2 An oral medicine opinion, including assessment of salivary glands and associated structures;
6.3 Soft tissue lesions, oral lesions and oral medicine cases;
6.4 Radiological evidence of pathology within the mandible or maxilla that may be neoplastic or cystic;
6.5 TMJ dysfunction cases and facial pain;
6.6 Overwhelming maxillo-facial infections;
6.6 Patients with complicated medical conditions (Haemophilia, low platelets, etc)
6.7 Facial deformity and facial reconstruction;
6.8 Facial injury and facial bone fractures;
6.9 Dento-alveolar fractures;
6.10 Cleft lip/palate management;
6.11 Sleep apnoea
6.5 Suspected malignancy
Patients with suspected malignant disease should be referred urgently to the hospital services. The hospital consultants welcome fax/ telephone calls from any practitioner concerned that a patient may have an orofacial malignancy. A Peterborough Trust fast track referral form is available for faxing of suspected cases of malignancy to a central receiving number at Peterborough (please specify OMFS). This system is a continuation of the current arrangements

Contact Details

Fitzwilliam House, 10 Bushfield Orton Centre, Peterborough, Cambridgeshire PE2 5RQ

Area: Central Midlands | Cheshire & Merseyside | East Anglia and Essex | Greater Manchester | Lancashire | Thames Valley | Yorkshire & Humber