In this section
Patients with more complex periodontal conditions may require specialist treatment. Any referred patient should have received appropriate periodontal care (detailed in the referral along with a recent BPE /other detailed periodontal record), in keeping with Greater Manchester LDN Healthy Gums DO Matter Practitioner’s Toolkit and the British Society of Periodontology Parameters of Care:
(www.bsperio.org.uk/publications)
As there is limited access to specialist periodontal services referrals will only be accepted if the patient has engaged with a process of improving their periodontal health and there is a specific problem with the periodontal tissues, which is beyond the scope of general dental practice. For example:
- A concurrent medical factor that is affecting the periodontal tissues
- Patients requiring complex restorative treatment planning
- Patients with combined periodontal and endodontic lesions
- Patients requiring combined periodontal and orthodontic treatment
- Patients either at risk of or having been identified with aggressive periodontitis
- A strong family history of early tooth loss due to periodontitis in a patient with periodontal disease
- Advanced periodontitis in a young patient
- Patients with desquamative gingivitis
- Where residual chronic periodontitis persists after periodontal treatment
- Patients requiring periodontal surgery, such as crown-lengthening procedures, and for the surgical management of mucogingival problems (e.g. treatment of gingival recession or gingival overgrowth)
- Recent high quality radiographs must be sent with the referral letter. Digital print-outs must be of diagnostic quality.