The Old Surgery Dental Practice – Crewe

Services covered: CWW Level 2 MOS, CWW Level 2 Sedation

What services are offered?

Anterior Apicectomies under sedation
Complex Surgical Extractions
IV Sedation
Multiple extractions under sedation
Simple surgical extractions 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 endodontics on anterior teeth.
Anterior Apicectomies

Which services are not offered?

Complex Medical Histories
Complex Oral Medicine
Domiciliary
G. A. Referrals
HSC Cancer Referrals
Inhalation Sedation
Orthodontic Exposures
Radiography
Restorative procedures under sedation
Routine extractions under sedation
Second Opinions
TMJ

Endodontics
Prosthodontics
Periodontics
Molar Endodontics Under Sedation
Surgical exposure of buccally displaced teeth with an orthodontic treatment plan
Face to Face Restorative Triage Services
Multiple extractions
Simple restorations – direct and indirect
Anterior endodontics
Simple extractions
Simple scaling and debridement

What are the referral criteria for patients?

Level 2 procedures are performed or managed by a team of Specialist Oral Surgeons, supported by dedicated oral surgery coordinators.
Level 2 Oral surgery is provided under LA with or without the adjunct of IV sedation
Patients must be 16 years of age or over
Patients must be effectively fit and healthy (ASA 1 or 2) We would accept patients with mild systemic illness that does not significantly impact on their day to day life.

What are the main reasons for rejecting patients?

Routine extractions (even if the patient is anxious and requests IV sedation)
Orthodontic extractions
Management of dento-alveolar trauma including alveolar fractures and avulsed teeth
Cases with a previous history of difficult extractions. Each extraction should be assessed on individual merits.
Cases where anaesthesia could not be achieved. The oral surgeons do not use any more effective techniques or LA that a GDP would have access to in practice. f Anaesthesia cannot be achieved and in rare cases that the tooth cannot be extirpated or dressed to treat pulpitis the patient may require referral to secondary care where there is the option of a general anaesthetic.
Cases with complex medical histories.
Complex Oral medicine.
Complex surgical extractions or treatment under GA or inhalation sedation.
Orthodontic exposures
Referrals for radiography
Second opinions
Restorations under sedation
TMJ complaints

Who are the clinicians providing the service?

Who can use the service?

Patients living in the Cheshire, Wirral and Warrington area or patients attending a GDP of this area.
Patients aged 16 or over.

The practice leaflet can be found here