Evaluation of an NHS practice-based minor oral surgery service

Dyer, T. A.; Dhamija, Ankit

doi:10.1038/sj.bdj.2009.1136

Cited by 16 publications

(24 citation statements)

References 20 publications

(30 reference statements)

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“…Over the last few years, primary care trusts in England have established referral pathways for treatment by oral surgeons in primary care. The findings of our study are consistent with the studies reported in this literature …”

Section: Discussionsupporting

confidence: 93%

“…One patient had persistent pain post‐extraction who was referred to oral and maxillofacial surgery unit locally and diagnosed as osteomyelitis. Overall complications were consistent with a standard practice of oral surgery.…”

Section: Discussionsupporting

confidence: 71%

“…carried out a service review of minor oral surgery specialist referrals in a managed clinical network. There are many studies analysing the impact of minor oral surgery delivery in primary care in the UK supporting the process and evaluating its benefits.…”

Section: Introductionmentioning

confidence: 99%

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Provision of specialist‐led minor oral surgery service in Scottish NHS dental practices – analysis of benefits and costs

Bharadwaj¹,

Rice

2016

Oral Surgery

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This article evaluates the benefits of specialist-led minor oral surgery service in Scottish primary care dental practice. Objectives: The aims of the study were to: 1 Study practice-based minor oral surgery service delivery. 2 Estimate waiting times for these patients. 3 Explore complications. 4 Evaluate cost allocated for procedures in minor oral surgery in primary and secondary sector. Materials and Methods: Retrospective analysis of procedures carried out, waiting times, complications and comparative cost in minor oral surgery from two NHS dental practices located in Lothian health board area. Results: A total of 1896 procedures in 982 patients having minor oral surgery were analysed across two sites. Of procedures, 51% (971) were simple extractions; 31% (580) of the procedures were surgical removal of non-third molar teeth; 15% (275) of the procedures were surgical extraction of third molars; and 3% (70) of the procedures were complex procedures such as surgical exposure of canines, removal of simple cysts and closure of oroantral communication. Two hundred and nine procedures were carried out under intravenous sedation. It was difficult to estimate waiting times although all patients were treated within 4 weeks. The overall complication rate was 8.1%. There is a considerable difference in cost allocated to similar procedures in primary and secondary care and the money allocated for carrying out minor oral surgery in primary care is not cost neutral. Conclusions: It is cost efficient to treat minor oral surgery patients in primary care. Like for like procedures in minor oral surgery are expensive and potentially wait longer before receiving treatment in secondary care. Clinical RelevanceOral Surgery practice is multifaceted and a significant amount of its clinical activity can be safely carried out in a primary care setting. We analysed the procedures delivered in two Scottish NHS dental practices and studied the wait times and complications. We evaluated the cost differential between similar procedures in a Scottish primary and secondary care setting. The proposed model of delivery of minor oral surgery in Scottish primary care appears useful and needs further evaluation.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 71%

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Provision of specialist‐led minor oral surgery service in Scottish NHS dental practices – analysis of benefits and costs

Bharadwaj¹,

Rice

2016

Oral Surgery

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“…The majority of the respondents desired to pursue oral surgery careers which may provide more specialists to reduce improper referrals to secondary care and would be effortless for patients . There is no outreach programme for the undergraduate oral surgery curriculum in Turkey.…”

Section: Discussionmentioning

confidence: 99%

A city‐wide survey of dental students’ opinions on undergraduate oral surgery teaching

Burdurlu

Cabbar

Dağaşan

et al. 2020

Eur J Dental Education

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Purpose: This study aimed to carry out a city-wide survey to evaluate undergraduate students' opinions on their oral surgery training by measuring their self-confidence. Materials and Methods:A cross-sectional survey of 383 3rd year, 412 4th year and 363 5th year undergraduate dental students from six dental schools in Istanbul with a mean age of 22.73 ± 1.55 was conducted towards the end of the academic year. A web link to the questionnaire was sent to the contact person at the participating dental schools. The questionnaires were anonymously evaluated. Descriptive statistics were calculated, and Chi-square tests were performed to examine the data. A P-value of <.05 was considered to be statistically significant. Results:In total, 1158 responses were returned, representing 67% of the overall students in the 2018-2019 academic year. The male respondents were significantly more self-confident than females in the general aspects of surgical skills. More than half of the respondents (53%) felt confident in oral surgery knowledge to undertake independent practice. Although 5th year respondents felt more confident in the general aspect of the questionnaire, their ability of differentiation of odontogenic and non-odontogenic pain was lower than their counterparts. The majority (86%) of the participants disagreed that the only knowledge required for oral surgery was that of tooth and jaw anatomy. Conclusion:This survey revealed perceived confidence in tooth and retained root extraction. The male respondents were found to be more self-confident. There is a need for improvement in surgical skills, recognition of malignancies and differentiation of the origin of the pain. K E Y W O R D Sanatomical knowledge, dental students' opinion, oral surgery teaching, self-confidence

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“…Despite being a routine procedure, patients have reported complications ranging from 1% to 30.9% (5)(6)(7)(8)(9). The most frequent post-extraction complication is alveolitis (10)(11)(12)(13)(14)(15) and occurs with a frequency that varies from 0 to 35% of all dental extractions (5). Other commonly reported complications are paresthesia of the mandibular nerve, pain and infections (3,16,17).…”

Section: Introductionmentioning

confidence: 99%

Infectious postoperative complications in oral surgery. An observational study

Dallaserra¹,

Poblete²,

Vergara³

et al. 2020

J Clin Exp Dent

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Background: The main objective of this investigation was to determine the incidence of infectious postoperative complications in oral surgery. Material and Methods: A observational and descriptive study was developed, with the use of prospective registry of the patients admitted for oral surgery at the San Borja Arriarán Hospital Complex during twelve months observation period (April 2017 to March 2018). Results: The sample consisted of 532 patients undergoing surgical procedures of oral surgery and 19 cases of infectious postoperative complications. The incidence of complications reached 3,57% and it was observed predominantly in exodontic type interventions. The most commonly observed complication was dry socket, reaching 2,5% of third molar surgeries and 3,7% of extractions of other teeth. Other postoperative complication were 7 cases of facial spaces abscesses, also observed predominantly in exodontic type interventions. Conclusions: The results were similar to those reported in the literature both in their frequency and in the type of complication.

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Evaluation of an NHS practice-based minor oral surgery service

Cited by 16 publications

References 20 publications

Provision of specialist‐led minor oral surgery service in Scottish NHS dental practices – analysis of benefits and costs

Provision of specialist‐led minor oral surgery service in Scottish NHS dental practices – analysis of benefits and costs

A city‐wide survey of dental students’ opinions on undergraduate oral surgery teaching

Infectious postoperative complications in oral surgery. An observational study

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