Referral Service & Protocols

Services for Referring Dentists Implantology – Oral Surgery – Endodontics- X-rays

Our aim is to provide a premiere referral service for all aspects of implantology, minor oral surgery and endodontics.

Referrals are accepted for implant placement, implant restoration and all types of bone and soft tissue augmentation in relation to implants. Implant work can be completed in it’s entirety, or referred to us for treatment planning and the surgical phase of treatment only, with the restorative element being completed by the referring practitioner.

We also accept referrals for surgical extractions or removal of wisdom teeth. Patients’ radiographs and scan are welcome. If not available, we can arrange for pantomograms and CBCTs if required.

We also accept referrals for endodontic treatment, whether primary or re-treatment. Initial consultation is followed by a report on possibility of treatment and the prognosis. Extraction and Implant treatment as an alternative may be mentioned but not offered to the patient at this clinic unless specifically indicated on the referral form.

Throughout all treatment, patients will remain registered with their own GDP for all other aspects of their dental care and returned once the required treatment is complete.

All treatment options are discussed with patients and a full written report and cost estimate provided. Referrals from colleagues can be made by post, telephone or more ideally by email. Consultations are welcomed directly from patients themselves by contacting us directly.

All treatment is carried out on a strict referral protocol, all patients will be returned to their routine dentist for ongoing care once treatment has been completed.

    Regency House Dental Online Referral Form (required fields marked *)

    Dentist

    FIRST NAME *
    LAST NAME *
    PRACTICE NAME




    ADDRESS
    PHONE *




    EMAIL *
    PREFERRED METHOD OF CONTACT

    Patient

    FIRST NAME *
    LAST NAME *
    DATE OF BIRTH *



    ADDRESS
    PHONE *



    EMAIL
    HOW SHOULD WE CONTACT THE PATIENT?



    RELEVANT MEDICAL HISTORY

    Please Indicate Requested Treatment

    IMPLANTS

    Implant placement onlyImplant placement and restorationBone graftingSinus augmentationTreatment of implant complication

    ENDODONTICS

    Opinion onlyPrimary treatmentRe-treatment

    ORAL SURGERY

    Wisdom tooth/teeth removalOther surgical extractionApicectomy

    PLEASE PROVIDE DETAILS OF REQUIRED TREATMENT

    CBCT/OPG Xrays

    Digital PanoramicCone Bone CT

    PLEASE PROVIDE DETAILS OF REQUIRED SCAN/XRAY, PREGNANCY, ANY MEDICAL CONDITION, REASON FOR THE SCAN



    PLEASE INCLUDE ANY RELEVANT FILES