Oral & Maxillo Facial Surgery

Oral and maxillofacial is involved in all aspects of the diagnosis and surgical care of the mouth, jaws, skull, face, head and neck as well as associated structures and their reconstruction.  The aim of the specialty is to provide a comprehensive diagnostic and surgical service, often in a multidisciplinary manner to our medical and dental colleagues for a defined anatomical area – the Head and Neck.

Oral and maxillofacial surgery in Ireland and the UK is a medical / surgical specialty requiring both medical and dental degrees, culminating in an appropriate qualification, Intercollegiate Fellow of the Royal College of Surgeons, FRCS (omfs) and a Certificate of Completion of Specialist Training from the RCSI.

Spectrum of the specialty:

    • Cleft Surgery
    • Cranial, facial and maxillofacial trauma (soft and hard tissues)
    • Cancer of the head and neck region and its reconstruction
    • Disease of the salivary glands
    • Surgical correction of facial disproportion – both congenital and acquired
    • Cleft lip and palate surgery
    • Facial pain
    • Disorders of the temporomandibular joint
    • Surgical removal of impacted and buried teeth, cysts and benign tumours of the jaws
    • Placement of osseointegrated dental and extra-oral implants
    • Management of infections of the head and neck, including life-threatening facial space infection
    • Conditions of the oral mucosa such as mouth ulcers, white patches and dentoalveolar infection

All oral and maxillofacial surgeons must also have a registrable qualification with the Dental Council as well as a postgraduate qualification in dentistry before beginning higher specialty training

Training Pathway

Step 1 Step 2 Step 3 Step 4
Training Level Medical School AND Dental School Intern Year Core Training in Surgery Higher Specialist Training
Duration 4-6 years (medical) plus 5 years (dental) 1 year 2 years 5 years
Entry Process Graduate or direct entry Entry through the HSE Intern Match Entry based on competitive interview Entry based on on-going assessment (CAPA), successful completion of the MRCS exam and Specialty Interview
Mandatory Examinations As per curriculum N/A MRCS Exam FRCS
Application Date CAO process opens in November Application process opens in October Application process opens in November
Programme Operated by: Undergraduate Universities Intern Networks RCSI RCSI

Higher Specialty trainees may choose to undergo further training in a 2 year Surgical Fellowship Training in the following areas

  • Head and neck oncology – with extended reconstruction including microvascula Cosmetic facial surgery
  • Craniofacial and skull base surgery / paediatric maxillofacial surgery

The Higher Specialist Training Programme in Oral and Maxillofacial Surgery is administered by the Royal College of Surgeons in Ireland.

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