Dental Extractions (including wisdom teeth)

ADULT

  • 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
    • 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
Minimum Referral Criteria
Category 1
(appointment within 30 calendar days)
  • 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 calendar days)
  • Dental extraction in medically compromised patients (e.g. Patients suffering from Haemophilia, cardiac disease, thoracic disease, multiple co- morbidities)
Category 3
(appointment within 365 calendar days)
  • Hypodontia, delayed eruption of teeth

Please insert the below information and minimum referral criteria into referral

1. Reason for request Indicate on the referral

  • 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

2. 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

3. 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

4. Request

  • Patient's Demographic Details

    • 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

    • Full name
    • Full address
    • Contact details – telephone, fax, email
    • Provider number
    • Date of referral
    • Signature
    • Relevant clinical information about the condition
    • 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

    Reason for request

    • 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 modifiers

    • 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

    Other relevant information

    • 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.)

  • 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.

    • Please note that where appropriate and where available, the referral may be streamed to an associated public allied health and/or nursing service.  Access to some specific services may include initial assessment and management by associated public allied health and/or nursing, which may either facilitate or negate the need to see the public medical specialist.
    • A change in patient circumstance (such as condition deteriorating, or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.
    • Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.

Last updated: 28 September 2026

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