GGC - Oral Health
- Head & Neck Oncology assessments
- Head & Neck Oncology rehabilitation
- Rehabilitation of patients with severe dentoalveolar trauma involving loss of multiple teeth or maxillary central incisor (Patients must have with otherwise minimally restored, well maintained dentition, no caries or periodontal disease and no other teeth lost due to primary dental disease)
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Cleft
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Hypodontia – Assessment, treatment planning and specialist elements of treatment for patients with developmentally absent permanent teeth (excluding 3rd molar teeth)
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Cases must have an otherwise well maintained dentition, no plaque related dental disease and be motivated to engage with treatment
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Cases requiring specialist Restorative Dentistry input will be prioritised for treatment within the hospital dental setting
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Advice prior to orthodontic debond or cases previously jointly planned with Restorative Dentistry will be prioritised
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Adequately functioning resin bonded bridges and primary teeth will not be replaced with dental implants
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FRP Referral Guidance
Warning
Priority list of conditions that we will accept and those which at the present time we will not accept for treatment.
- Fixed prosthodontics
- Advice only on failing crown and bridge work (GDP must provide full records including: photos, study models, and recent radiographs)
- Advice and planning only on toothwear. A limited service is available to those with significant functional or pain issues and where conservative measures have failed to stabilise the occlusion and the patient’s oral health is at risk.
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Study models, clinical photographs and appropriate radiographs should be provided.
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A very limited number of cases may be accepted for training purposes. The vast majority of cases will be returned to primary dental care services for further management.
- Removable prosthodontics - Patient must have a functional or pain issue and meet one of the following criteria:
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Anatomical difficulties i.e. severely resorbed ridges, tori, enlarged tuberosities
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Concurrent severe mucogingival disease e.g. erosive lichen planus
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Concurrent severe xerostomia
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MRONJ
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Limited opening (<2 fingers width – i.e. typically less than 30mm)
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Significantly reduced neuromuscular control
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- Fixed and removable prosthodontics
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Advice on fixed vs. removable options (study models, clinical photographs and appropriate recent radiographs should be provided).
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Please note – This includes advanced Restorative treatment carried out overseas, for which cases will be returned to primary dental services for management.
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- Hypodontia
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Hypodontia cases requiring assessment/planning on an MDT clinic alongside orthodontics +/- other hospital specialties, who do not meet criteria for priority care, as set out above.
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Patients for planning +/- provision of oral rehabilitation following orthodontic treatment or as a Restorative alone solution. Treatment will be prioritised according to specialist treatment need.
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Assessment, planning, +/- oral rehabilitation for patients who require replacement of teeth, modification of existing teeth, advice/management of treatment failure.
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Advice prior to debond on Restorative Dentistry oral rehabilitation options for cases managed without prior input from Restorative Dentistry or out-with the Hypodontia patient pathway
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- Patients unwilling to meet financial costs out with GDH. Direct referral to the BDS undergraduate clinics could be considered as an alternative if straightforward primary care. https://www.gla.ac.uk/schools/medicine/dental/practitionerreferrals/
- Dismantling of existing crown and bridgework
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Treatment for patients with dental material allergies
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Aesthetic complaints
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Denture material allergy
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Sensitive gag reflex
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Dentures not attempted by primary dental care services within last 12 months
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Patients still wearing immediate dentures
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Implants out with referral criteria
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Aesthetic concerns with dentures
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Replacement of implant prostheses provided out with NHS
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Remake of dentures previously made at GDH unless primary dental care services have attempted this in past 12 months
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Assess suitability for UG programme
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Treatment of advanced Restorative work carried out overseas.
- Head & Neck oncology, cleft or hypodontia
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Routine dentistry pre-and post-treatment
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Remake of existing prosthesis unless causing pain/functional issues
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Emergency primary care treatment
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Prosthetic reconstruction within remit of GDS e.g Resin bonded bridgework
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- Hypodontia
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Adequately functioning resin bonded bridges and primary teeth will not be replaced with dental implants
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Where treatment could be predictably provided in the General Dental Practice setting, patients will be discharged to the care of their GDP for treatment.
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