Chapter 3 – Health Care Operations

3.3.2.8 Oral Surgery

• Policy

  • Dental clinics within the California Department of Corrections and Rehabilitation (CDCR) shall provide necessary oral surgery services to all patients.

• Purpose

  • To establish guidelines and parameters whereby patients in the custody of CDCR receive necessary oral surgery services in a timely manner.

• Procedure

  • A full range of necessary oral surgery procedures including biopsies shall be available to all CDCR patients regardless of incarceration time.

  • Any medically necessary oral surgery procedure that cannot be accomplished by CDCR dentists at the local institution shall be made available by referring the patient to contracted Oral Surgeons, or to outside facilities. (Reference the Health Care Department Operations Manual, Section 3.3.4.5(c)(3) and (4).

  • Routine extraction of asymptomatic third molars is an excluded service.

  • A CDCR 7425, Consent for Extraction(s), or for all other surgical procedures, a CDCR 7342, Informed Consent to Surgical, Special Diagnostic, or Therapeutic Procedures, must be completed and signed by the patient prior to provision of the services.

  • At the discretion of the treating dentist, patients shall have a post-op follow-up oral surgery appointment after each surgical procedure.

  • The Supervising Dentist (SD) or designee shall make arrangements to receive timely notification from the Triage and Treatment Area (TTA) or Utilization Management (UM) Nurse regarding patients that return to the institution after having surgical procedures provided at an outside facility. The SD or designee shall establish a Local Operating Procedure (LOP) for scheduling post-op oral surgery appointments for these patients.

• References

  • Health Care Department Operations Manual, Chapter 3, Article 3, Section 3.3.4.5, Dental Authorization Review Committee

• Revision History

  • Effective: 04/2006
    Revised: 11/2017, 11/2020, 02/2022