Dental Extractions (including wisdom teeth)

Emergency department referrals

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or follow local emergency care protocols or seek emergent medical advice if in a remote region.

  • Traumatic tooth injuries with associated injuries including:
  • Large lacerations
  • Associated jaw fracture
  • Refer immediately in the presence of severe infection including:
  • Limited eye opening
  • Facial swelling
  • Increasing pain
  • Tinnitus
  • Dysphagia

Urgent cases accepted following telephone discussion must be accompanied by a written referral. A copy of the referral must be faxed immediately to the Oral and Maxillofacial Clinic on (07) 3646 3545.

Does your patient wish to be referred?

Minimum referral criteria

Does your patient meet the minimum referral criteria?

Category 1

Appointment within 30 days is desirable

  • Acute unmanageable dental infections
  • Non-healing of extraction sites
  • Patients requiring extraction of teeth prior to head and neck radiotherapy or cardiac surgery

Category 2

Appointment within 90 days is desirable

  • Dental extraction in medically compromised patients (e.g. Patients suffering from Haemophilia, cardiac disease, thoracic disease, multiple co- morbidities)

Category 3

Appointment within 365 days is desirable

  • No category 3 criteria

If your patient does not meet the minimum referral criteria

Consider other treatment pathways or an alternative diagnosis.

If you still need to refer your patient:

  • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Referral requirements

A referral may be rejected without the following information.

Essential referral information

Referral will be returned without this

  • History and examination findings
  • Presenting symptoms including evolution and duration
  • Dental treatment undertaken (e.g. Drainage, antibiotics)
  • Associated neurological abnormality
  • Comment on bite, trismus, and gum disease
  • Presence of lymphadenopathy
  • OPG

Additional referral information

Useful for processing the referral

  • Medical history
  • Medication history
  • Tooth Vitality test results if completed by dentist
  • Other relevant imaging
  • Other relevant clinical information

Other useful information for referring practitioners

not an exhaustive list

  • Assessment and management information may be found on a range of conditions at HealthPathways
  • Refer to the dentist in the first instance for consideration of treatment
  • Refer to Oral and Maxillofacial Unit if no improvement after 48 hours dental management
  • Refer immediately in the presence of severe infection including:
  • Limited eye opening
  • Facial swelling
  • Increasing pain
  • Tinnitus
  • Dysphagia

 

Out of catchment

Metro North Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service. If your patient lives outside the Metro North Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

Clinical Modifiers (where relevant)

  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander

Reason for Referral (essential)

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can’t order, or the patient can’t afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

Clinical Information (essential)

  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use

Patient’s Demographic Details (essential)

  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander

Referring Practitioner Details (essential)

  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature

Other Information (where relevant)

  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Send referral

Hotline: 1300 364 938

Medical Objects ID: MQ40290004P
HealthLink EDI: qldmnhhs

Mail:
Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road
ASPLEY QLD 4034

Fax number:
Metro North Central Patient Intake
1300 364 952

Health pathways

Access to Health Pathways is free for clinicians in Metro North Brisbane.

For login details email:
healthpathways@brisbanenorthphn.org.au

Login to Brisbane North Health Pathways:
brisbanenorth.healthpathwayscommunity.org