Patient selection Booking listing Preop assessment Admission Surgery amp Post Operative Discharge amp followup Medical History Covid swabsIsolation 3 days before WHO check list Loccsip ID: 931739
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Referral & surgical review & assessmentPatient selectionBooking/ listingPre-op assessmentAdmissionSurgery & Post OperativeDischarge & follow-up
Medical History
Covid swabs/Isolation 3 days before
WHO check list/Loccsip
Patient information leaflet given
Clinical assessment
URGENT RED FLAGS
ROUTINE
Within
18
weeks
Book to paediatric day surgery general anaesthetic list
18
weeks from referral
Surgery & post operative
Discharge
Referral & surgical review & assessment
Pathway template
Patient selection
Booking/ listing
Pre-op assessment
Admission
Referral from orthodontist with relevant radiographs if available
1,2,3
Dental development / age
Book to out patient procedure list for local
anaesthesia +/- sedation
Required for general anaesthetic patients only
Consent and radiograph and covid test checked
Appropriate PPE
if likely to be an
AGP
procedure
Discharge
medication and advice given
Impacted tooth causing damage to standing permanent teeth
Review Date: April 2022
Removal of Impacted Teeth in Children Pathway
Referral from dentist with relevant radiographs if available
1,2,3
If tooth position unclear CBCT required see guidelines
1,2,3
Consider orthodontic assessment if referred from general dental practice
Virtual or
FtoF
assessment by OMFS/OS specialist as per local preference
Consent to be taken at
FtoF
meeting. Verbal consent for virtual assessments with form to be completed and left in notes for signature on arrival
Patient information Leaflet to be given at
FtoF
or sent for virtual assessments
Copy of clinic letter to be sent to parent: detailing treatment plan, action for dentist/orthodontist
Need
for additional extractions or exposure of teeth
1,2,
Consider suitability for local anaesthesia +/- sedation
Booked to pooled list
Preoperative assessment as per Trust paediatric guidelines
Check radiographs are within 6 month of surgery date
All patients admitted on the day
Allow fallow time if required
Local anaesthetic patients to go straight home at end of procedure with Trust written instructions
Notes: (1) Management of the ectopic Maxillary canine RCS Eng Faculty of Dental Surgery 2016 (2) Management of unerupted maxillary incisors RCS Eng Faculty of Dental Surgery 2016 (3) Guidelines for the use of radiographs in Clinical Orthodontics 4th Ed 2015 British Orthodontic Society(4) https://www.rcseng.ac.uk/coronavirus/surgical-prioritisation-guidance
Orthodontic follow up arranged
Discharge letter generated and copy given to parent
No surgical follow up
Graded for operator level suitability
Listed as priority categorisation for procedure for RCS guidelines