Restorative Dentistry
A comprehensive treatment planning consultation advisory service is available. A limited treatment service is available for patients in list covered in general categories
Periodontology
Patients with the following conditions are accepted for care.
Conditions of acceptance for specialist periodontal treatment
- The referring practitioner will manage all other treatment required
- Patients cannot be accepted simply because they will not pay NHS charges in
Priority patients:
High susceptibility to periodontitis based on
- Severe localized gingival recession
- Lack of attached gingival attachment leading to complication
- Gingival overgrowth
Requests for advice
Consultant opinions and advice on treatment planning will be offered for
patients referred with the following documentation:
- Full medical history
- Comprehensive periodontal charting
- Appropriate diagnostic radiographs.
Acceptance of other patients for treatment
If patients referred for opinions have problems which require consultant-led management, they may be offered treatment in the department. Practitioners should advise at referral whether they would like this option if available, subject to resources.
Prosthetic dentistry
Patients are seen for diagnosis and advice. They are only accepted for treatment if they fall within categories listed under general categories or have had several previous unsuccessful attempts to construct dentures.
Crowns and bridges
A full diagnostic and advisory service is available. We are unable to accept patients for rectification of problems with crown and bridgework that has been carried out outside our office. We are pleased to advise as to appropriate methods of removal and management of fixed restorations. Patients in general categories list are accepted for treatment.
Endodontics
At the present time we are able to accept any new referrals for endodontic treatment or advice.
Surgical endodontics
Patients fulfilling the protocols may be referred either to restorative dentistry or to oral and maxillofacial surgery.
Apicectomy is only indicated when endodontic treatment has been impossible to complete because of:
- continuing extra-radicular infection
- calcification
- post which cannot be removed
- non-negotiability of root canals
- management of perforations.
- biopsy of a suspicious periapical lesion
Implant dentistry
- Partially dentate patients should have otherwise healthy intact dentitions, i.e., good oral hygiene, periodontally healthy, minimal restorations and good long term prognosis
- Patients losing teeth through periodontitis, endodontic failure, and bridge failure are not usually considered for implant treatment
- Patients who would like to have their existing denture replaced by an implant retained prosthesis or dislikes the thought of wearing dentures
Patients in general categories list are normally accepted if they are in the following categories:
Edentulous in one or both jaws
- Severe denture intolerance
- Physical due to severe gagging
- Prevention of severe alveolar bone loss
Partially dentate
Preservation of remaining healthy intact teeth when the patient has missing teeth due to:
- Developmental disorders (oligodontia/anodontia or cleft lip/palate)
- Trauma
- Complete unilateral loss of teeth in one jaw where dentures are not tolerated or an edentulous span considered too difficult to manage by other means
|
Maxillofacial and craniofacial defects
Intraoral implants. This group of patients have missing significant amounts of hard and soft tissues in addition to loss of teeth. They result from developmental disorders, trauma and the treatment of tumours.
Please note that the provision of implant therapy is subject to local Primary Care Trust protocols
