Dental  |  Elective Services




Dental

Elective Services

Hospital Dental & Oral Maxillofacial

Dental referrals are prioritised by a hospital Dentist based on the information contained within. Additional information should be attached where available. The priorisation tool used to grade referrals can be found below. 

All accepted referrals will be seen within a maximum waiting time of 4 months, unless there is a clinical reason for delay. 

Referral acceptance is a follows:

First Specialist Assessments:

 

Waiting priority 1

Accepted

Waiting priority 2A

Accepted

Waiting priority 2B

Accepted

Waiting priority 2C

Declined

 Waiting priority 3

Declined

 

At First Specialist Assessment (FSA), patients are assessed by a Dentist and if surgery is required, patients are then prioritised using the National Dental CPAC tool.  A 0-100 score is allocated to each patient.

Prior to acceptance for surgery, patients are assessed in Anaesthetic preassessment clinic to ensure they are fit for surgery.

All patients accepted for surgery will be treated within a maximum waiting time of 4 months, unless there is a clinical reason for delay.

Surgery acceptance is as follows:

Treatment List

 

CPAC 80+

Accepted

 

National Access Criteria for First Assessment (ACA)
Bay of Plenty Variation (November 2016)

Category

Diagnosis  (clinical examples)

1. Immediate


(within 14 days)

  • High Suspicion of Cancer , as per July 2015 FCT Data Definitions
  • Head and neck trauma e.g. fractured mandible
  • Acute or life threatening oro-facial infections e.g. Ludwig’s angina
  • Significant or uncontrolled pain and/or bleeding
  • Acute functional problems e.g. TMJ dislocation

2A. Urgent

 

(within 4 – 6 weeks)

  • Patients recently diagnosed with head or neck cancer, (excluding minor skin cancers) requiring Dental treatment
  • Patients diagnosed with or at risk of osteonecrosis
  • Complex oral pathology e.g. cysts, salivary gland pathology
  • Significant infection and/or pain of oral origin
  • Pre and/or post-surgery oral health assessments and treatments e.g. organ transplant, cardiac valve surgery

2B. Semi-urgent

 

(within 4 months)

  • Children, due to their young age, who cannot be managed in the community dental clinic setting and/or have high uncontrollable caries rates
  • Patients with significant cranio-facial abnormalities
  • Patients with complex comorbidities
  • Patients with physical or developmental or intellectual disabilities

2C. Semi-urgent

 

(within 4 months)

  • Patients living in residential care or nursing care
  • Long-term debilitating TMJ pain
  • Patients in long-term mental health units

3. Routine

 

(within 4 months)

Management of significant dental problems for low-income adults e.g. full clearances

 

*Diagnosis and treatment required in a hospital setting for medically complex patients and patients with special needs.

*Clinical Priority” criteria are a guide rather than exhaustive, complete or exclusory.

Exclusion: Orthodontic treatment as per the June 2015 Oral Health Services Tier Two Service Specification.



Last updated : Monday, December 05, 2016
Next review date : Tuesday, December 05,2017


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.