The oral and maxillofacial surgery department focuses on the delivery of care to patients with dento-alveolar needs.
Priority is given to patients requiring surgical extraction of teeth including wisdom teeth, and those with more complex dento-alveolar problems such as cysts and other types of jaw pathology. Treatment is carried out under local anaesthetic, intravenous sedation and general anaesthetic for those where this is deemed necessary.
The department also accepts referrals for patients with myofacial pain which cannot be managed in primary care, and houses the country’s first ever craniofacial clinic, which is operated by a multidisciplinary team. The department works closely with others in the Royal National ENT & Eastman Dental Hospital to deliver an integrated pathway of care for these patients.
The department follows stringent guidelines in delivering a service for the referral cohort placing the patient needs at the top.
Care is delivered through pathways that are audited and quality assessed. The department optimises delivery of patient care in line with education and training.
Other referral information
Referrals can be made using ‘NHS e-Referral Service (formerly Choose and Book referrals) ’.
All patients referred using this method are expected to be registered with a dental practitioner.
Urgent referrals are given precedence.
Referrals where there has been attempted extraction or fractured roots must be accompanied by details of the treatment initiated and the difficulties encountered.
Waiting times for consultation: Routine referrals up to 8 weeks.
Eastman Central Registry for Referrals (ECRA)
Royal National ENT and Eastman Dental Hospital
47-49 Huntley Street
We care for patients with:
- Pathology of the face, mouth, jaws and neck (advice, diagnosis and management)
- Complex and impacted teeth requiring removal
- Compromised medical health, requiring extractions
- Craniofacial and oral defects (bone grafts and reconstruction are undertaken jointly with the restorative division)
- Lingual and inferior alveolar nerve injuries
- Surgical orthodontics including orthognathic surgery, exposure and bonding of impacted teeth and orthodontic extractions
- Soft tissue pathology of the mouth
- Temporomandibular joint problems
- Retained roots requiring surgical removal
- Multiple extractions with moderate to severe complexity, e.g. bulbous and sclerosed/ ankylosed teeth
- Impacted wisdom teeth that are causing persistent problems
- Other impacted teeth
- Cystic lesions of the jaws
- Abnormal swellings of the jaws and associated soft tissues
- Jaw fractures
- Infections and chronic lesions related to any of the above
- Myofascial pain
- Patients requiring multidisciplinary care
- Patients with craniofacial and facial deformity
The department regularly revisits its referral criteria in line with the changing demands on the service. The department follows strict guidance and adheres closely to the NICE guidelines relating to wisdom tooth removal.
Patients are discharged back to the care of the dentist with a discharge report following completion of the treatment.
In the majority of cases, the patient will be given a review appointment to discuss test results. Following this a letter is routinely sent to the referrer confirming diagnostic test results.
- Information for Patient Escorts
- Information for Patients Undergoing Inhalation Sedation
- Information for Patients Undergoing Intranasal Sedation
- Information for Patients undergoing Intravenous Sedation
- Information for Patients Undergoing Oral Sedation
- Information on the extraction of wisdom teeth
- Minor oral surgery post operative instructions
- Oral Mucosal Biopsy
- Post Operative Instructions - Tranexamic acid mouthwash
- Post-extraction advice