Session outcomes — Clinical referral & assessment (summary)

What you should be able to do

  • Refer appropriately to the student extraction clinic.
  • Identify complicating factors that may make an extraction unsuitable for student clinic or higher-risk.

Key decisions (scan table)

StepWhat you checkWhat you do with it
Confirm suitabilityPatient meets extraction clinic criteriaProceed with booking/management in student clinic
Screen complexityMedical, behavioural, positioning, tooth-related factorsEscalate/seek tutor input or refer out if outside scope
Risk awarenessFactors that increase difficulty/complicationsPlan approach, time, supervision level, and consent

Common “complicating factors” to screen quickly

  • Patient factors: limited chair positioning, poor tolerance of sights/sounds, behavioural risks
  • Medical factors: anticoagulants (esp. warfarin/dual therapy), anti-resorptives, immunosuppression, prior head/neck RT, sedation need, AB cover need
  • Tooth factors: ankylosis signs (obliterated PDL), hypercementosis, severe dilaceration, brittle crown (heavily restored/caries), multi-root complexity