Oral Surgery refers to that part of Dentistry which involves cutting or surgery inside your mouth. This is mostly the extraction of teeth, the removal of wisdom teeth, the enecuylation of cysts, biopsy of lesions and release of tongue ties and other frenectomy procedures.
There are 2 options for patients:
- Public Treatment or
- Private Treatment
You can ask your Dr or Dentist to refer you to a hospital which offers an Oral Surgery service. This is available in Dublin, Limerick, Cork and Galway. Through this system you can be treated at normal public hospital fees as you would for any other medical condition. The only disadvantage is the length of the waiting list.
If you have a medical card your dentist can refer you to the local area Principal Dental Surgeon. They will then arrange for your treatment to be carried out. Your treatment will be free of charge and the waiting time is normally reasonable.
Dr Murnane provides an Oral Surgery service to public patients out of the dental Departments in Our Ladys Hospital, Navan and Tullamore Regional Hospital. Referrals must be made to your local principal dental surgeon and you must hold a valid medical card
Dr Murnane has a private clinic in Nenagh, 20 minutes from Limerick. There is lots of parking and no traffic. Consultation and treatment is available on the same day. You can attend and have treatment completed and be on your way home within 90 minutes.
You can ask to be referred to a private Oral Surgeon or you can simply contact Dr Murnane yourself.
Treatment is normally within a week or so, however Fees are charged.
( Dr Murnane is 30 minutes from Thurles, easy access and parking at the clinic door)
- If you have private health insurance such as VHI, LAYA, Irish Life, St Paul’s Garda Medical Aid or ESB Medical Provident and you have been a member for 6 months or more your procedure is generally covered. (Insurance companies view Oral Surgery as Surgery and not as dentistry. You do not need dental Insurance.)
INSURANCE COMPANIES PAY FOR SURGICAL TREATMENT ONLY NOT FOR ROUTINE / SIMPLE EXTRACTIONS
You will be charged for consultations, x ray’s and sedation technical fees. Fees vary and you should ring several surgeon’s for quotes.
If you have no insurance you will have to pay all fees your self, again shop around and you will find that fees will differ considerably.
(wisdom teeth removal only 20 minutes from Limerick, no traffic and parking at the clinic door)
GENERAL ANAESTHETIC and SEDATION
Many patients are frightened of dental treatment and want “to be asleep” for their treatment. These people have 2 options
General anaesthetic has historically been used for the removal of wisdom teeth and many difficult extractions. In fact it has been overused for many years and its use is now being discouraged by the Dental Council for safety reasons and because sedation advances have made the use of general anaesthetic unnecessary for routine treatment in healthy adults.
The following abstract is a portion of The Dental Councils view of General Anaesthetic use in dentistry
“The Dental Council considers that general anaesthesia, a procedure which is never without risk, should be avoided in the practice of dentistry if at all possible. Patients seeking general anaesthesia, where it is not clinically appropriate, should be advised of and encouraged to accept alternative methods of anxiety control.
The acceptance of patients for a general anaesthetic should be subject to a thorough medical assessment, a detailed medical and dental history and a full dental examination.
Prior to the administration of a general anaesthetic the procedure, including potential risks, should be fully explained to the patient and/or parent/guardian and written consent obtained.”
From a patients view point they should see no difference between sedation and general anaesthetic. An injection is given in the arm and you go into a light sleeping type state.
Sedation, however does not require hospital admission, it is a much gentler anaesthetic with quicker recovery and fewer side effects. You should return to normal within an hour or so. You do not need to fast for 8 hours, you will not feel sick after treatment and you do not need a tube placed down your throat into your lungs.
Sedation is also also much more economical for your treatment without compromising on safety or comfort of treatment than general anaesthetic.
The cost of purchasing a general anaesthetic is about €1,000, plus the cost of the extraction must be added to this bringing the bill for an extraction to about €1,500.
The cost of sedation will vary from surgeon to surgeon, the range is about from €40 to €300.
Dr Murnane has clinics in Tullamore and Nenagh and provides a same day service. This means you can attend for a consultation and have your treatment on the same day as long as all arrangements are in place.