Prosthodontics

Patients will receive supervised treatment on the MSc Prosthodontics but will have to cover all the associated laboratory costs involved in treatment planning and definitive dental treatment.

Patients should be highly-motivated with good oral hygiene and stable periodontal health. It is essential that good quality supporting radiographs and a current BPE are sent with all referrals.

1. Replacement crown/bridgework
2. Aesthetic improvement
3. Tooth wear cases
4. Restoration of missing teeth with fixed or removable prostheses

The clinics run on Thursdays.

Periodontology

1. Patient’s desire to undertake specialist care and motivation for treatment
2. BPE Score of 4 in any sextant
   • Appropriate non-surgical management initially carried out in general practice (including oral hygiene and smoking cessation advice)
   • Diagnosis of aggressive periodontitis as assessed either by severity of disease for age or based on rapid rate of periodontal breakdown
   • Diagnosis of refractory periodontitis
3. Surgery involving the periodontal tissues
   • Patients requiring surgical procedures involving tissue augmentation or regeneration, including surgical management of muco-gingival problems
   • Patients requiring surgery involving bone removal (eg crown lengthening)

Please note that in addition to relevant radiographs of diagnostic value, we would also require:

• Confirmation of appropriate oral hygiene instruction (including interdental aids)
• Confirmation of a full course of non-surgical periodontal treatment (which would normally consist of supragingival and subgingival scaling and root surface debridement under local anaesthesia)Periodontology clinics run on a Tuesday

Referrals without this information will be returned.

Endodontics

Urgent referrals for example acute adult dental trauma must be clearly marked and given priority.
Referrals are accepted on the basis of good restorative status, prognosis of treatment and strategic importance of maintaining the tooth.

1. Primary root canal treatment
2. Root canal retreatment
3. Surgical endodontic treatment of restoratively sound teeth when orthograde endodontic treatment is not viable
4. Vital pulp therapy (traumatic pulp exposures; stabilised deep caries with adequate tooth structure, possible exposure and absence of periapical disease)
5. Root resorption: affecting single restoratively viable tooth or affecting multiple teeth
6. Endodontic diagnosis or opinion

We do not currently consider accepting patients for:

1. Patients who have untreated primary dental disease
2. Unrestorable teeth with poor prognosis

Additional information required:

As well as the general referral information, the following is required:

• Parallel view periapical radiograph(s) of the tooth/teeth in question must be enclosed; these must be of diagnostic quality
• The tooth/teeth in question must be clearly stated
• The type of treatment required should be stated, e.g. primary root canal treatment, root canal re-treatment, vital pulp therapy, surgery
• A thorough pain history must be provided
• A detailed history of previous treatment for the tooth in question, including any previous root canal treatment provided and of any difficulties encountered
• Details of any fractured instruments, if applicable
• Details of any previous treatment including, for example, pulp capping
• Confirmation that the patient is free from primary dental disease (e.g. dental caries or periodontal inflammation) and details of treatment carried out to address these aspects. Basic periodontal examination (BPE) scores are required.

Endodontics runs on a Monday

Implantology

Straightforward cases based on the ITI SAC classification scale.

Patients need to be advised costs for a single restored straightforward implant can cost up to £950 with postgraduate placement more complex treatment can only be costed at planning stages.

Implant special conditions:

Not to refer patients with active periodontal disease, Perio has to be stabilised and kept stable for at 12 months before they are sent for consultation

The patients’ dental pathology needs to have been dealt with before referring – i.e. Root fillings for peri-apical lesions and fillings for decayed teeth.

The patients need to be dentally fit before referral and need to be advised that they will be assessed for suitability at their consult appointment.