Referrals, procedures and complications in oral surgery services. Literature review

Pacheco-Vergara, María Jesús; Cartes‐Velásquez, Ricardo

doi:10.1016/j.rodmex.2016.02.010

Cited by 6 publications

(5 citation statements)

References 24 publications

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“…Although appearing to differ between healthcare systems [12], this aspect was not assessed in our study. In many cases, such as POS, clinical management varies from dentist to dentist and from country to country [13]. Our study had shown that management of POS cases varied also between specialties (in this case between GDPs and PDs).…”

Section: Discussionmentioning

confidence: 60%

Referral Patterns of Pediatric Oral Surgery Cases: A Pilot Survey of United Arab Emirate Dentists

Madi¹,

Darwish²,

Kowash

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

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Objective: To assess the referral patterns of General Dental Practitioners (GDPs) and Pediatric Dentists (PDs) when faced with a range of Pediatric-Oral Surgery (POS) cases. Material and Methods: Eighty-two dentists treating children [51.2% GDPs (n=42) and 48.8% PDs (n=40)] were shown clinical photographs or radiographs of twelve common POS cases. Opinions on whether to "manage it yourself", "refer to a/another pediatric dentist", "refer to an oral surgeon (OS)", "refer to a multidisciplinary clinic (MDC)", or "do nothing" were sought. Statistical analysis was carried out using SPSS software with Chi-square test (p≤0.05). Results: Both GDPs and PDs reported significantly higher referrals to OS of: 1) lower lip mucoceles (50%, 52.5% respectively), 2) exposure of impacted maxillary canine (64%, 51.3%) and 3) dento-alveolar trauma cases (73.8%, 65%). A majority of GDPs and PDs reported self-managing of: 1) removal of multiple deciduous carious teeth (81%, 97.5%), 2) odontogenic infections with facial swelling (57.1%, 92.5%), 3) removal of ankylosed submerged primary molars (66.7%, 95%) and 4) dental trauma (71.4%, 100%). PDs reported self-managing primary herpetic gingivostomatitis (PHGS, 95%) compared to 45.2% of GDPs. GDP referral of PHGS to the PDs was 42.9%. There were no significant differences between both groups regarding removal of a mesiodens, release of a tongue-tie, a labial frenectomy, or a lip laceration, but the majority would refer to oral surgeons in these cases. Conclusion: Whilst United Arab Emirates dentists sampled referred some pediatric-oral surgery cases to oral surgeons, general dental practitioners were reluctant to refer pediatric-oral surgery cases to pediatric dentists, preferring to self-manage them.

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Section: Discussionmentioning

confidence: 60%

Referral Patterns of Pediatric Oral Surgery Cases: A Pilot Survey of United Arab Emirate Dentists

Madi¹,

Darwish²,

Kowash

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

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“…This is suggestive of the programme's contribution to reducing public specialist dental waiting times to some degree (Figure 1). 26 This finding is highly encouraging as most dentoalveolar surgeries (impacted teeth, cyst removal) are conducted in public hospital systems which leads to long waiting lists, excessive financial and social load. 1,25 Furthermore, the RBWH is 73.8 km from Griffith University, which is an arguably not insignificant geographical distance for patients to travel to for minor oral surgery care, particularly those with limited means, who comprised most of our patients.…”

Section: Discussionmentioning

confidence: 99%

“…This is suggestive of the programme's contribution to reducing public specialist dental waiting times to some degree (Figure 1). 26 …”

Section: Discussionmentioning

confidence: 99%

Oral surgery waiting lists at an Australian university dental school

2022

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Objective The aim of this study was to investigate the waiting times experienced by patients referred to an Australian University oral surgery clinic over a 2‐year period. Materials and method A single‐centre retrospective study was conducted to determine the waiting times for oral surgery services at the Griffith University postgraduate clinic. The first 233 patients were selected out of a total of 587 randomised patients and data collected regarding referral sources, procedures undertaken and the number of days from referral to consultation, then to treatment collected from the clinic's management software. Results Of the 233 referrals, 121 were female (52%) and 112 male (48%). Many patients were between 20 and 29 years representing approximately 40% (n = 93) of the sample. Analyses of referred patients showed that a significant number of public (i.e. non‐private‐paying) patients (73%, n = 170) were treated in the study period. Most patients waited only 1–2 weeks to be seen for a consultation from date of referral and treatment from date of consultation. Nearly half (49.7%, n = 116) were treated within 2 months of being referred. Once the patient was referred, the overall mean waiting time was 44 days from referral to treatment. Treatment comprised of either procedures undertaken under local anaesthesia (LA) (76.7%, n = 179) or consultations only with patients either declining treatment, deemed not in need of surgical intervention, or referred for more advanced management such as the need for general anaesthesia (23.3%, n = 54). Surgical removal of third molars (36.1%, n = 84) was the most common reason for referral. Conclusion A variety of minor oral surgery procedures can be provided under local anaesthesia with acceptable accessibility and shorter public oral surgery waiting lists.

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“…Tooth extraction is one among the common procedures undertaken in dental clinics (Jesudasan et al, 2015;Pacheco-Vergara and Cartes-Velásquez, 2016;Patturaja and Pradeep, 2016). Post extraction complications generally don't occur.…”

Section: Introductionmentioning

confidence: 99%

Post extraction complications - An institution based retrospective study

Shahzan¹,

Marimuthu²

2020

ijrps

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Tooth extraction is one of the most common procedures undertaken in the dental clinic. As with any surgical procedure, even a simple tooth extraction can result in complications. Post extraction complications can be annoying to the patient, thereby causing mild morbidity and have an impact on their quality of life. Complications are wide starting from common ones like alveolitis and root fracture, dry socket, infraction, halitosis, pain, trismus and uncommon ones like displacement of root fragments within the sinus and oral antral fistula. The aim of this study was to evaluate post-extraction complications among patients visiting saveetha dental college. This is a retrospective study. We reviewed patient records and analysed the data of 86000 patients between June 2019 and March 2020. From a pooled sample size of 23000 extractions done during this period, data of patients reporting for post-extraction complications were segregated and analysed. The statistical analysis was done using SPSS Version 20 by IBM. The results were analysed using the chi-square test. In this study, we observed that among a sample of 23000 simple extractions, only 42 patients had reported back with post-extraction complications (0.18%). These complications were more in males than in females. When compared between maxillary and mandibular arch, the mandible had more incidence with 54.16%. The most common complication was dry socket (58.34%). Pain as a complication was more in males than in females. Within the limits of the study, the incidence of post-extraction complication is more in males than females. Higher incidence of complication was seen in a mandibular arch (54.16%) than in maxillary arch (45.84%).

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Referrals, procedures and complications in oral surgery services. Literature review

Cited by 6 publications

References 24 publications

Referral Patterns of Pediatric Oral Surgery Cases: A Pilot Survey of United Arab Emirate Dentists

Referral Patterns of Pediatric Oral Surgery Cases: A Pilot Survey of United Arab Emirate Dentists

Oral surgery waiting lists at an Australian university dental school

Post extraction complications - An institution based retrospective study

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