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Hospital & Specialist Dentistry - Regional Service | Auckland | Te Toka Tumai | Te Whatu Ora

Public Service, Oral & Maxillofacial Surgery, General Dentist, Oral Surgery Specialist, Orthodontist, Paediatric Dentist, Prosthodontist

Today

Middlemore Hospital

8:00 AM to 4:30 PM.

Description

Formerly Auckland DHB Hospital & Specialist Dentistry - Regional Service

The Hospital and Specialist Dentistry is a regional service managed by the Auckland District Health Board (ADHB) with the majority of clinics held at Greenlane Clinical Centre, Middlemore Hospital, Buckland Road and the Māngere Refugee Centre.

Children and adults from the Waitemata DHB are treated at Greenlane Clinical Centre.

The service also holds clinics and inpatient and day stay operating sessions at Greenlane Clinical Centre, Starship Children's Hospital, Auckland City Hospital, Middlemore Hospital, Waitakere Hospital and Quay Park Surgical Centre.

Most dental services for the Counties Manukau population are provided at the Oral Health Clinic at Middlemore Hospital and Buckland Road Southern Cross Campus at Māngere.

THE HOSPITAL AND SPECIALIST DENTISTRY SERVICE DOES NOT PROVIDE ROUTINE DENTAL SERVICES TO THE PUBLIC

Services Provided by the Hospital and Specialist Dentistry Service

  • Emergency relief of pain clinics and alternative providers for people with Community Services Cards only 
  • Primary care (community) dental services for IHC and special needs adults and children.
  • Secondary services (hospital) for medically compromised patients including cardiac, oncology, respiratory, immunocompromised.
  • Cleft lip and palate and orthodontics (for craniofacial and cleft lip and palate patients only).
  • Tertiary services (complex hospital) in both inpatient and outpatient settings across the Auckland region.
  • After hours on-call regional acute service for oral surgery.

Subspecialty Groups Include:

  • Special needs children and adults.
  • Mental health inpatients only.
  • Emergency relief of pain clinic - an emergency service for the treatment of acute toothache (Community Service Card Holders only).
  • Paediatrics - referred to Hospital and Specialist Dentistry by the School Dental Service, private dentists, general practitioners and specialists.
  • Oral medicine.
  • Orthodontics - this service is available to children with craniofacial and cleft lip and palate only.
  • Periodontics - this service is available to special needs, medically compromised and oncology patients referred for the management of severe gum disease.
  • Restorative dentistry / cleft lip and palate - this service is based at Middlemore Hospital and works closely with the CMDHB Plastic Surgery Team.
  • Prosthodontics - assists with the restoration of dental function to patients being treated for head and neck cancer.
  • Artificial eyes, nose and ears - artificial prostheses are made for patients referred to the laboratory service from specialists and other hospitals.
  • Mobile Surgical Bus - children can be treated on the surgical bus that visits Pukekohe and Wellsford every six weeks. Children are booked onto the bus through Oral Health.
  • Refugee Centre - this is a relief of pain clinic for refugees arriving in New Zealand.
  • Laboratory services - the laboratory provides specialised services to patients being treated for head and neck cancer.

Services Not Provided by the Hospital and Specialist Dentistry Service

All routine dental services including:

  • Check-ups
  • X-rays
  • Fillings
  • Scale and cleans
  • Root canal fillings
  • Any restorative work such as crowns or dentures.

Patients must visit a private dentist for this type of dental work.

 

Definitions
CHILD  0 yrs old to under Year 9 (Form 3) in school
ADOLESCENT Over Year 9 (Form 3) in school and all adolescents (no matter what circumstances) until their 18th birthday
ADULT 18th birthday and over
IHC Special needs
PSYCH Psychiatric patients must be referred by Mental Health to qualify

Dental Team

Note: Please note below that some people are not available at all locations.

  • Dr Jessica Buchanan

    Oral and Maxillofacial Specialist

    Available at Greenlane Clinical Centre

  • Dr Hadleigh Clark

    Oral Medicine Specialist

    Available at Greenlane Clinical Centre

  • Dr Anita Nolan

    Oral Medicine Specialist

    Available at Greenlane Clinical Centre

  • Dr Joel Bagadam

    Oral Surgery, Relief of Pain

    Available at Greenlane Clinical Centre, Middlemore Hospital, 225 Buckland Road, Māngere East, Auckland

  • Dr Daniel Kennedy

    Orthodontic Specialist

    Available at Middlemore Hospital

  • Dr Caitlin Agnew

    Paediatric Dentistry Specialist

    Available at all locations.

  • Dr Anna Dawson

    Special Needs Dentistry, Paediatric, Relief of Pain

    Available at Greenlane Clinical Centre, 225 Buckland Road, Māngere East, Auckland, Waitakere Hospital

  • Dr Wanda Gaynor

    Paediatric, Relief of pain

    Available at Greenlane Clinical Centre, Middlemore Hospital, 225 Buckland Road, Māngere East, Auckland

  • Dr Pauline Koopu

    Paediatric, Relief of Pain

    Available at all locations.

  • Dr Yu-Lynn Lee

    Paediatric Dentistry Specialist

    Available at Greenlane Clinical Centre, Waitakere Hospital

  • Dr Lorraine Lim

    Paediatric Dentistry Specialist

    Available at Greenlane Clinical Centre, Middlemore Hospital, 225 Buckland Road, Māngere East, Auckland

  • Dr Manisha Narsinh

    Paediatric Dentistry Specialist

    Available at Greenlane Clinical Centre

  • Dr Yasodhara Ramadas

    Paediatric Dentistry Specialist

    Available at Greenlane Clinical Centre, Middlemore Hospital

  • Dr Hugh Trengrove

    Clinical Director, Prosthodontic specialist

    Available at Greenlane Clinical Centre, Middlemore Hospital

  • Dr Chris Keall

    Restorative Dentistry Specialist

    Available at Greenlane Clinical Centre, Middlemore Hospital

  • Dr Mowafaq Amso

    Special Needs Dentistry

    Available at Greenlane Clinical Centre, Middlemore Hospital

  • Dr Sarah Ball

    Special Needs Dentistry

    Available at Greenlane Clinical Centre, Middlemore Hospital

  • Dr Thomas Butchard

    Special Needs Dentistry

    Available at Greenlane Clinical Centre, Middlemore Hospital, 225 Buckland Road, Māngere East, Auckland

  • Dr Raymond Abel

    Relief of Pain

    Available at Greenlane Clinical Centre

  • Dr Adeline Chai

    Prosthodontist

    Available at Greenlane Clinical Centre, Middlemore Hospital

  • Dr Niki Harrison

    General Dentist

    Available at all locations.

  • Dr Amy Kim

    General Dentist

    Available at all locations.

  • Dr Guo Ling

    Special Care Dentistry Specialist

    Available at Greenlane Clinical Centre, Middlemore Hospital

  • Dr Jack Lintern

    General Dentist

    Available at Greenlane Clinical Centre, Middlemore Hospital

  • Glenda McMan

    Hygienist

    Available at Greenlane Clinical Centre

  • Dr Joanna Ngo

    Special Care Dentistry Specialist

    Available at Greenlane Clinical Centre

How do I access this service?

Referral

Referral Expectations

If you would like to refer a patient to the ADHB Hospital and Specialist Dentistry Regional Service please send your referral to the Central Referrals Office via one of the below methods:

  • eReferral
  • eMail:
  • Post: ADHB Hospital and Specialist Dentistry Regional Service, Central Referrals Office, Private Bag 92189, Auckland 1142
  • Please include relevant clinical photography +/- radiographs when referring oral pathology

If you have any questions or concerns please contact the ADHB Hospital and Specialist Dentistry Regional Service; (09) 307 8900

Fees and Charges Description

Hospital and Specialist Dentistry Fee Schedule - for NZ Residents

Surgical Extraction

  • There is a user part charge for the surgical extraction of teeth.
  • If the surgical extraction is performed under local anaesthetic or oral sedation, the cost will be $100 - $200.
  • If the surgical extraction is under general anaesthetic or intravenous sedation, the cost will be $350 - $400.
  • The cost to you will be discussed at the time of your consultation.
  • It is preferable to pay the fee on the day of the procedure.
  • Patients who cannot afford to pay can apply for a loan through WINZ.  You will need to contact WINZ to see if you qualify.  Our dentist(s) can provide you with a quote for treatment to take to WINZ.

 

Relief of Pain Service for Community Service Card holders only 

  • $40.00, this needs to be paid on the day of treatment.
  • The $40.00 user part charge covers the consultation time and x-ray if required.  If you are required to come back for further treatment or you decide to seek private dental treatment, this does not mean that the RPO consultation is free.
  • Some treatments will have an extra charge, for instance, the extraction of wisdom teeth under local or general anaesthetic costs $180 - $360 (please read above for more details).
  • The Oral Health staff will advise you of any additional charges.

Non Residents

  • There are additional charges for non residents, which will need to be paid before you have a consultation and/or treatment.  
  • For details of these costs please contact the Hospital and Specialist Dentistry Department.

 

We accept payment by cash or EFTPOS only.

Hours

Middlemore Hospital

8:00 AM to 4:30 PM.

Mon – Fri 8:00 AM – 4:30 PM

Urgent Dental Care

Yes

Government Funded/Subsidised Dental Care

Emergency dental care for adults with a community services card (CSC)

Services Provided

Elective Services

Hospital and Specialist Dentistry provides elective services at Auckland City Hospital, Greenlane Clinical Centre, Middlemore Hospital, Starship Children's Hospital, Buckland Road Clinic and the Refugee Centre. Greenlane Clinical Centre Relief of pain clinics Outpatient clinics Specialist clinics Elective day stay operating sessions Elective inpatient operating sessions held at Auckland City Hospital Auckland City Hospital Elective inpatient operating sessions Specialist clinics Middlemore Hospital Relief of pain clinics Outpatient clinics Specialist clinics Maxillofacial follow-up clinics Dental laboratory and fitting of prostheses Elective day stay and inpatient operating sessions Starship Children's Health Starship Children's Hospital clinics Starship Children's Hospital day stay operating sessions Buckland Road, Māngere Relief of pain clinics Special needs clinics Refugee Centre Outpatient clinics - operates according to refugee intake

Hospital and Specialist Dentistry provides elective services at Auckland City Hospital, Greenlane Clinical Centre, Middlemore Hospital, Starship Children's Hospital, Buckland Road Clinic and the Refugee Centre.

Greenlane Clinical Centre

  • Relief of pain clinics
  • Outpatient clinics
  • Specialist clinics
  • Elective day stay operating sessions
  • Elective inpatient operating sessions held at Auckland City Hospital

 Auckland City Hospital

  • Elective inpatient operating sessions
  • Specialist clinics

 Middlemore Hospital

  • Relief of pain clinics
  • Outpatient clinics
  • Specialist clinics
  • Maxillofacial follow-up clinics
  • Dental laboratory and fitting of prostheses
  • Elective day stay and inpatient operating sessions 

Starship Children's Health

  • Starship Children's Hospital clinics
  • Starship Children's Hospital day stay operating sessions

Buckland Road, Māngere

  • Relief of pain clinics
  • Special needs clinics

Refugee Centre

  • Outpatient clinics - operates according to refugee intake
Acute Services

Hospital and Specialist Dentistry provides acute services at Auckland City Hospital, Middlemore Hospital and Starship Children's Hospital. Auckland City Hospital Acute inpatient facilities at Auckland City Hospital Starship Children's Hospital Acute inpatient facilities at Starship Children's Hospital Middlemore Hospital Acute inpatient facilities at Middlemore Hospital

Hospital and Specialist Dentistry provides acute services at Auckland City Hospital, Middlemore Hospital and Starship Children's Hospital.

Auckland City Hospital

  • Acute inpatient facilities at Auckland City Hospital

Starship Children's Hospital

  • Acute inpatient facilities at Starship Children's Hospital

Middlemore Hospital

  • Acute inpatient facilities at Middlemore Hospital
Relief of Pain Clinic for Adults (18 years and over) with Community Service Cards

What is the Relief of Pain Service? Emergency dental pain relief for adults (18 years and over) with Community Service Cards only. You will be asked to show your Community Service Card on arrival. What will it cost? $40, to be paid on the day of treatment. We accept payment by cash or EFTPOS. Some treatments will have extra charges, the dentist will advise you of any additional charges. What will my $40 cover? A consultation plus an x-ray and/or a simple extraction of one tooth if required. If during the consultation it is discovered the extraction is not simple, (for example surgical extraction, wisdom teeth) you will be advised to seek treatment from a private provider. You may request copies of any x-rays taken to give to your private provider. How can I be seen at the clinic? You must phone and book an appointment. Appointments are made for the next working day. There are limited appointments each day. Once the clinic is fully booked for the next working day the phone line will be closed with a message advising options, including; seeking treatment from a private dentist, contacting other providers for Community Service Card holders (a list of these can be found below) or calling the next working day. What day/time is the clinic open? Greenlane Clinical Centre clinic days: Monday to Friday (not available on public holidays) Buckland Road Community Dental Clinic: Monday to Friday (not available on public holidays) Phone (09) 630 9809 to make an appointment The phone line opens at 8:30am Monday to Friday What do I need to bring? Please bring a list of any medications you are taking, any private x-rays or test results you may have Your Community Service Card as you will be asked to present it at reception Photo identification (drivers licence or passport) Proof of residency What if the clinic is full and I cannot be seen? Seek treatment from a private dentist Community Service Card holder can seek treatment number of selected private dental practices. A list of these providers can be found Alternative Relief of Pain Providers If you do not wish to be seen by another provider you can try again the next working day. What if I have a facial swelling? If you have a facial swelling please contact your dentist, doctor or hospital emergency department immediately. What if my child is in pain? If your child is in pain please contact the Auckland Regional Dental Service in the first instance (0800 TALK TEETH, 0800 825 583) who will assess your child and if required refer to Auckland Regional Hospital & Specialist Dentistry. General Information You be required to complete registration and medical history forms before treatment There is a parking charge at Greenlane Clinical Centre

What is the Relief of Pain Service?

  • Emergency dental pain relief for adults (18 years and over) with Community Service Cards only.
  • You will be asked to show your Community Service Card on arrival.

What will it cost?

  • $40, to be paid on the day of treatment. 
  • We accept payment by cash or EFTPOS.
  • Some treatments will have extra charges, the dentist will advise you of any additional charges.

 What will my $40 cover?

  • A consultation plus an x-ray and/or a simple extraction of one tooth if required.
  • If during the consultation it is discovered the extraction is not simple, (for example surgical extraction, wisdom teeth) you will be advised to seek treatment from a private provider. 
  • You may request copies of any x-rays taken to give to your private provider.

 How can I be seen at the clinic?

  • You must phone and book an appointment.
  • Appointments are made for the next working day.
  • There are limited appointments each day.
  • Once the clinic is fully booked for the next working day the phone line will be closed with a message advising options, including; seeking treatment from a private dentist, contacting other providers for Community Service Card holders (a list of these can be found below) or calling the next working day.

 What day/time is the clinic open?

  • Greenlane Clinical Centre clinic days: Monday to Friday (not available on public holidays)
  • Buckland Road Community Dental Clinic: Monday to Friday (not available on public holidays)
  • Phone (09) 630 9809 to make an appointment
  • The phone line opens at 8:30am Monday to Friday

What do I need to bring?

  • Please bring a list of any medications you are taking, any private x-rays or test results you may have
  • Your Community Service Card as you will be asked to present it at reception  
  • Photo identification (drivers licence or passport)
  • Proof of residency

 What if the clinic is full and I cannot be seen?

  • Seek treatment from a private dentist
  • Community Service Card holder can seek treatment number of selected private dental practices.  A list of these providers can be found Alternative Relief of Pain Providers
  • If you do not wish to be seen by another provider you can try again the next working day.

What if I have a facial swelling?

  • If you have a facial swelling please contact your dentist, doctor or hospital emergency department immediately.

What if my child is in pain?

  • If your child is in pain please contact the Auckland Regional Dental Service in the first instance (0800 TALK TEETH, 0800 825 583) who will assess your child and if required refer to Auckland Regional Hospital & Specialist Dentistry.

General Information

  • You be required to complete registration and medical history forms before treatment
  • There is a parking charge at Greenlane Clinical Centre

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Toothache

Please click the following link for more details about the Emergency Dental/Relief of Pain Clinic for Adults 18+ years with Community Service Cards at the Hospital and Specialist Dentistry Service at Greenlane Clinical Centre, Middlemore Hospital and Buckland Road.

Please click the following link for more details about the Emergency Dental/Relief of Pain Clinic for Adults 18+ years with Community Service Cards at the Hospital and Specialist Dentistry Service at Greenlane Clinical Centre, Middlemore Hospital and Buckland Road.

Wisdom tooth and impacted tooth extraction

Wisdom teeth are the third molars right at the back of your mouth. They usually appear during your late teens or early twenties. If there is not enough room in your mouth they may partially erupt through the gum or not at all. This is referred to as an impacted wisdom tooth. Due to their location wisdom teeth can be difficult to clean and are more susceptible to decay, gum disease and recurrent infections. They can cause crowding of teeth and, on rare occasions, cysts and tumours develop around them. Your dentist will advise if some or all of your wisdom teeth need to be removed. Wisdom teeth will usually only be removed if your dentist believes they will be a significant compromise to your oral health. Impacted tooth extraction Your dentist may recommend extraction if you are at significantly greater risk of infection or tooth decay. Impacted teeth may be removed by your dentist or they may refer you to an oral & maxillofacial surgeon. An incision (cut) is made in your gum and access to the impacted tooth cleared by pushing aside gum tissue and, if necessary, removing some bone. The tooth is removed whole or in pieces and the gum stitched together over the hole.

Wisdom teeth are the third molars right at the back of your mouth. They usually appear during your late teens or early twenties. If there is not enough room in your mouth they may partially erupt through the gum or not at all. This is referred to as an impacted wisdom tooth. 

Due to their location wisdom teeth can be difficult to clean and are more susceptible to decay, gum disease and recurrent infections. They can cause crowding of teeth and, on rare occasions, cysts and tumours develop around them.

Your dentist will advise if some or all of your wisdom teeth need to be removed.  Wisdom teeth will usually only be removed if your dentist believes they will be a significant compromise to your oral health.

Impacted tooth extraction

Your dentist may recommend extraction if you are at significantly greater risk of infection or tooth decay.  Impacted teeth may be removed by your dentist or they may refer you to an oral & maxillofacial surgeon.

An incision (cut) is made in your gum and access to the impacted tooth cleared by pushing aside gum tissue and, if necessary, removing some bone. The tooth is removed whole or in pieces and the gum stitched together over the hole.

Dental implants

Gum tissue at the site of the implant is opened up to expose the bone. The bone is drilled and a titanium implant is inserted where the root of your tooth had been. Once the bone and gum has healed (3-6 months), the post is attached to the implant and the crown is placed over the post and cemented into place.

Gum tissue at the site of the implant is opened up to expose the bone. The bone is drilled and a titanium implant is inserted where the root of your tooth had been. Once the bone and gum has healed (3-6 months), the post is attached to the implant and the crown is placed over the post and cemented into place.

Temporomandibular joint (TMJ) surgery

Arthroscopic: several small incisions (cuts) are made over the joint in front of the ear. A small telescopic instrument with a tiny camera attached (arthroscope) is inserted, allowing the surgeon a view of the joint. Small instruments can be inserted into the other cuts to free up the joint by e.g. removing adhesions and scarring, or repositioning a disc. Arthroplasty (open surgery): an incision is made in front of the ear, giving the surgeon access to reconstruct the joint by e.g. smoothing joint surfaces, repairing discs or removing diseased tissue. If a joint replacement is necessary, a second incision under the angle of the jaw may be required.

Arthroscopic: several small incisions (cuts) are made over the joint in front of the ear. A small telescopic instrument with a tiny camera attached (arthroscope) is inserted, allowing the surgeon a view of the joint. Small instruments can be inserted into the other cuts to free up the joint by e.g. removing adhesions and scarring, or repositioning a disc.

Arthroplasty (open surgery): an incision is made in front of the ear, giving the surgeon access to reconstruct the joint by e.g. smoothing joint surfaces, repairing discs or removing diseased tissue. If a joint replacement is necessary, a second incision under the angle of the jaw may be required.

Document Downloads

Visiting Hours

Oral Health does not have visiting hours as it is primarily an outpatient service.

Parking

There are parking charges at Greenlane Clinical Centre and Middlemore Hospital.

Contact Details

Middlemore Hospital

South Auckland

8:00 AM to 4:30 PM.

Middlemore Hospital
Ph: (09) 276 0145

Middlemore Hospital
Oral Health Unit
Level 1, Bldg 40
Middlemore Hospital
Hospital Rd
Otahuhu
Auckland

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Street Address

Middlemore Hospital
Oral Health Unit
Level 1, Bldg 40
Middlemore Hospital
Hospital Rd
Ōtāhuhu
Auckland

Postal Address

Middlemore Hospital Oral Health Unit
Private Bag 93 311
Ōtāhuhu
Auckland 1640

Greenlane Clinical Centre

Central Auckland

8:00 AM to 4:30 PM.

More details…

225 Buckland Road, Māngere East, Auckland

South Auckland

8:00 AM to 4:30 PM.

More details…

This page was last updated at 1:07PM on February 22, 2024. This information is reviewed and edited by Hospital & Specialist Dentistry - Regional Service | Auckland | Te Toka Tumai | Te Whatu Ora.