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Objective <p>To evaluate a new primary-care based oral surgery service in Plymouth, England using Maxwells’ Dimensions of Quality framework.</p> Methods <p>A retrospective observational study of referral, service and treatment outcome data.</p> Results <p>Over a 35-month period the service received 1165 referrals, with 89% of patients referred receiving treatment within 63 days. Treatment provided was predominantly dento-alevolar surgery accounting for 82% of treatment provided, and soft tissue lesions accounting for 17%. The re-attendance rate for complications was 4%, and antibiotic use was 2%. Sedation was required for 17% of treatment cases. Cost analysis indicated a cost per case of between £138–196.</p> Conclusion <p>The service meets the national clinical standards in oral surgery. High ongoing demand for referral of medium-complexity oral surgery cases from primary dental care to specialist providers/services is likely to continue. The opportunity to develop more primary care capacity has the potential to improve accessibility and convenience for patients and optimise use of NHS resources.</p>

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Evaluation of an intermediate minor oral surgery service in Plymouth, England and implications for future commissioning

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月4日

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  • Amirali Ziaebrahimi,
  • Robert Witton

摘要

Objective

To evaluate a new primary-care based oral surgery service in Plymouth, England using Maxwells’ Dimensions of Quality framework.

Methods

A retrospective observational study of referral, service and treatment outcome data.

Results

Over a 35-month period the service received 1165 referrals, with 89% of patients referred receiving treatment within 63 days. Treatment provided was predominantly dento-alevolar surgery accounting for 82% of treatment provided, and soft tissue lesions accounting for 17%. The re-attendance rate for complications was 4%, and antibiotic use was 2%. Sedation was required for 17% of treatment cases. Cost analysis indicated a cost per case of between £138–196.

Conclusion

The service meets the national clinical standards in oral surgery. High ongoing demand for referral of medium-complexity oral surgery cases from primary dental care to specialist providers/services is likely to continue. The opportunity to develop more primary care capacity has the potential to improve accessibility and convenience for patients and optimise use of NHS resources.