Do NOT book for extraction of more than 3 teeth at any one time.
No wisdom teeth that are inverted (upside down) or canines positioned in the nasal region.
Root fragments may exceed the 3-tooth limit but require prior tutor consultation.
Medical and Treatment History
No patients requiring sedation.
No patients requiring antibiotic (AB) cover.
No patients unable to tolerate treatment sounds and stimulation.
Antibiotic cover cases are excluded due to coordination difficulties.
No patients who have had previous Radiotherapy (RT) to the head and neck.
No patients on anti-resorptive agents (e.g., Bisphosphonates or Prolia).
No patients on immunosuppressants (e.g., Azathioprine or Methotrexate).
Medication Management (Anticoagulants and Anti-platelets)
Warfarin: Patients must have their INR checked within 24 hours prior to the extraction. The patient must bring their INR results to the appointment.
- Acceptable INR range is up to 4.0, though 3.5 is preferred.
Dual Therapy: No patients on DUAL anti-platelets (e.g., Aspirin and Clopidogrel) or DUAL anti-coagulants (e.g., Aspirin and Rivaroxaban).
- These patients experience significant oozing and represent the highest risk for haemostasis failure.
Single Therapy: It is acceptable to book patients on a single anti-platelet or a new oral anti-coagulant (Aspirin OR a NOAC).
- Includes apixaban, rivaroxaban, and dabigatran; local haemostatic measures are sufficient.
Extractions and Prosthodontics[^7]
Clinical Coordination and Scheduling
Bridge Sectioning: If bridge sectioning is required before extraction(s), ensure this is completed prior to the patient attending the extraction clinic.
The clinic is not equipped for extensive handpiece work; sectioning can take up to 1 hour, leaving no time for the extraction.
Session Capacity: Each chair in the extraction clinic can accommodate two patients per session. Each appointment duration is 1 hour 45 minutes.
Students should expect initial appointment durations of 80–90 minutes including waiting times and documentation.
Prosthetic Considerations
Denture Insertion: Immediate complete and partial dentures can be inserted in the extraction clinic.
Follow-up Care: Review appointments must be organized by the usual student clinician in a CC session.
Patient Informed Consent: Patients must be warned that if the prosthesis fails to fit, there is limited corrective action that can be taken within the extraction clinic setting.