Introduction: In January 2012, the local commissioners changed the way that dento-alveolar surgery
in our area is provided, introducing the Minor Oral Surgery (MOS) Service Tier 2.
Over the last 15 years there has been an inexorable, exponential rise in the number
of such patients referred. We will outline the nature of the changes, the implications
for our service, and by extrapolation the more wide-ranging consequences for service
provision and training.
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© 2012 Published by Elsevier Inc.