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Year : 2010  |  Volume : 8  |  Issue : 16  |  Page : 168-173

When to refer to an oral surgeon? - A pilot survey

Senior lecturer, Department of Public Health Dentistry, Department of Oral and Maxillofacial Surgery, K.S.R. Institute of Dental Science and Research, K.S.R. Kalvi Nagar, Tholclcavadi Post, Tiruchengode, Nammakkal District, Tamilnadu, India

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Source of Support: None, Conflict of Interest: None

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Objective: A survey was conducted in two institutions among the house surgeons and the teaching staffs, to study the self perceived threshold and reasons for referral to specialist for oral surgical needs. Methods: A pilot survey was conducted among the house surgeons B.D.S., and M.D.S., staffs of two dental colleges. A two page questionnaire was circulated among the participants. The survey form was designed to collect data regarding the participant's qualification, age, gender, experience and oral surgical conditions which could be managed by themselves, which they refer and reasons for referring. Results: From the two dental colleges 192 replies were received. The majority of the response was from house surgeons (80.2%) and the remainders were from the B.D.S and M.D.S. staffs of 10.4% and 9.4% respectively. Of these respondents, 90% can manage dental extractions when compared to other minor surgical procedures. Above 50% of participants were able to manage transalveolar extraction and biopsy. Above 45% can manage third molar impaction and more than 15% can manage canine impaction. Above 25% can manage Dentoalveolar fracture and Apisectomy. Above 60% can manage minor soft tissue injury and only 5.2% were manage to do dental implants. About 83% of participants attempt simple dentoalveolar procedures before referring to an oral surgeon. Whereas more than 80% of participants refer patient requiring placement of implant and complex surgery in medically compromised patients to a specialist care before attempting. But only 2.6% of the respondents only responded that they can manage the fracture of maxillofacial region.

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