Form ASC-OMS-LTO-TR-Revised as of November 5, 2008

Requirements for the Licensing of Ambulatory Surgical Clinics

Providing Oral and Maxillo-Facial Surgery

I. Definition of Oral and Maxillo-Facial Surgery

A part of dentistry that deals with the diagnosis, surgical and adjunctive
management of diseases, injuries, and defects of the human oral cavity, jaws,
teeth and surrounding tissues.

- Derived from the Rules and Regulations of Republic Act No. 9484, The
Philippine Dental Act of 2007, Section 4 (a)

II. Scope

Licensing shall apply to any person, firm, corporation or entity, whether

government or private, operating, maintaining and advertising ambulatory
surgical clinics providing oral and maxillo-facial surgery.

However, it shall not apply to any person, whether government or private,

engaged in oral and maxillo-facial surgery solely for his/ her practice of dentistry.

III. Service Capability

Performed under Performed under

Procedures
Local Anesthesia General Anesthesia
1. Trauma Management Yes Yes
1.1. Dento-alveolar fracture/ trauma
1.1.1 Close Reduction
1.1.2 Temporary Immobilization
1.2. Soft tissue injury (i.e. laceration,
abrasion, contusion, penetration,
burns)
1.2.1 Suturing
1.3. Temporary immobilization of fracture
of the jaws
1.4. Temporo-mandibular joint dislocation
1.5. Close reduction (simple jaw fracture)
1.5.1 Splinting Procedure

2. Dental Implant Yes Yes

2.1. Sinus lifting
2.2. Lateral nerve repositioning
2.3. Bone grafting

3. Pre – Prosthetic Surgery Yes Yes

3.1. Alveoloplasty/ alveolectomy
3.2. Removal of bony exostosis (torus)
3.3. Vestibuloplasty
3.4. Frenectomy

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Form ASC-OMS-LTO-TR-Revised as of November 5, 2008

Performed under Performed under

Procedures
Local Anesthesia General Anesthesia
3.5. Bone augmentation
3.6. Gingivectomy

4. Management of Cystic Lesions Yes Yes

4.1. Enucleation
4.2. Marsupialization
5. Management of oral benign Lesions Yes Yes
5.1 Excision

6. Management of Impacted Teeth Yes Yes

6.1 Odontectomy
7. Management of Localized Odontogenic
Yes Yes
Infections
7.1 Incision and Drainage
7.2 Debridement
8. Management of Complications of Yes Yes
Maxillary Sinus of Dental Origin
8.1. Closure of Oro-antral fistula
8.2. Caldwell-luc technique
9. Biopsy Yes Yes
9.1 Incision
9.2 Excision
9.3 Aspiration
10. Periodontal Surgery
Yes Yes
11. Endodontic Surgery
N/A Yes
12. Cleft Lip
12.1 Cheiloplasty

Note:
Local anesthesia includes conscious sedation.

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 Form ASC-OMS-LTO-TR-Revised as of November 5, 2008
IV. Personnel
Performed under Local
Procedures
Anesthesia
1. Trauma Management Oral Maxillo-Facial
Surgeon
2. Dental Implant

Registered Dentist with
3. Pre – Prosthetic Surgery valid PRC Identification
4. Management of Cystic Card
Lesions
Certificate of
Membership in the
5. Management of Oral Philippine College of Oral
Benign Lesions and Maxillo-Facial
6. Management of Impacted Surgeons (PCOMS)
Teeth or
Certificate of Proficiency
7. Management of (6 months training) from
Localized Odontogenic a local/ foreign institution
Infections recognized by PCOMS
8. Management of
Can be on-call
Complications of Dental Assistant
Maxillary Sinus of Dental
Duty is limited to non-
Origin therapeutic, non-
9. Biopsy restorative, and
adjunctive procedure
10. Periodontal Surgery
Work under the direct
11. Endodontic Surgery supervision of the Oral
and Maxillo-Facial
Surgeon
Oral and Maxillo-Facial Surgery
Performed under General
Anesthesia
Oral Maxillo-Facial
Surgeon

Registered Dentist with
valid PRC Identification
Card

Certificate of
Membership in the
Philippine College of Oral
and Maxillo-Facial
Surgeons (PCOMS)
or
Certificate of Proficiency
(6 months training) from
a local/ foreign institution
recognized by PCOMS

Can be on-call
Registered Nurse
Anesthesiologist

Certification from the
Philippine Society of
Anesthesiologists

Can be on-call
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Form ASC-OMS-LTO-TR-Revised as of November 5, 2008

Performed under Local Performed under General

Procedures
Anesthesia Anesthesia

12. Cleft Lip N/A Oral and Maxillo-Facial

Surgeon

Registered Dentist with
valid PRC Identification
Card

Certificate of
Membership in the
Philippine College of Oral
and Maxillo-Facial
Surgeons (PCOMS)
or

Certificate of Proficiency
(4 years residency) from
a local/ foreign institution
recognized by PCOMS

Can be on-call
Registered Nurse
Anesthesiologist

Certification from the
Philippine Society of
Anesthesiologists

Can be on-call

Others:
1. Clerk
2. Utility Worker

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 Form ASC-OMS-LTO-TR-Revised as of November 5, 2008

V. Equipment/ Instruments

Used under Local Used under General

Items
Anesthesia Anesthesia
1. Ambu bag N/A Yes

2. Anesthesia machine (with tanks of gases N/A Yes

and gauges)

3. Autoclave Yes Yes

4. Basic oral surgery instruments Yes Yes

5. Cardiac monitor N/A Yes

6. Dental unit/ chair Yes N/A

7. Defibrillator N/A Yes

8. Electrocautery Yes Yes

9. Emergency cart/ tray (with emergency Yes Yes

medicines)

10. Endotracheal tubes (all sizes) N/A Yes

11. Face mask N/A Yes

12. High-speed hand piece (air-driven or Yes Yes

motor-driven) with surgical burs

13. Instrument table N/A Yes

14. Intravenous stand N/A Yes

15. Laryngoscope with adult and pediatric N/A Yes

blades (curve and straight), spare bulb
and battery

16. Operating light N/A Yes

17. Operating table N/A Yes

18. Oxygen tank Yes Yes

19. Peri-apical x-ray machine (with apron) Yes Yes

20. Pulse oximeter (with probe) N/A Yes

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 Form ASC-OMS-LTO-TR-Revised as of November 5, 2008

Used under Local Used under General

Items
Anesthesia Anesthesia
21. Sphygmomanometer (with stethoscope) Yes Yes

22. Sterilizing tray and solution N/A Yes

23. Stretcher/ Patient bed N/A Yes

24. Suction machine Yes Yes

25. Tracheostomy set N/A Yes

26. X-ray film viewer Yes Yes

For Trauma Management, plus

27. Arch bars and wires Yes Yes

28. Splinting materials Yes Yes

For Dental Implant, plus

29. Implant delivery system Yes Yes

Others:

1. Emergency Lights
2. Fire Extinguisher
3. Patient Transport Vehicle (can be outsourced)
4. Personnel Protective Device
5. Standby Generator

VI. Physical Plant

Provided under Provided under

Spaces
Local Anesthesia General Anesthesia
1. Clean-up area Yes Yes

2. Dressing area/ room Yes Yes

3. Examination/ treatment area (with air Yes Yes

conditioning unit)

4. Operating room (with air conditioning N/A Yes

unit)

5. Recovery room N/A Yes

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Form ASC-OMS-LTO-TR-Revised as of November 5, 2008

Provided under Provided under

Spaces
Local Anesthesia General Anesthesia
6. Scrub-up area (with sink and water Yes Yes
supply)

7. Sterile instrument, supply and storage Yes Yes

area

8. Sterilizing area/ room Yes Yes

9. Toilet Yes Yes

Others:

1. Waiting Area
2. Receiving, Billing and Records Area

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