Orthodontics Template

This is a dictation template to provide a reminder of the information required to complete the referral. The fields in red are mandatory and must be completed on the referral protocol.

Why do you feel the patient needs hospital based orthodontic management?

  • Orthodontic / Minor oral surgery
  • Orthodontic / Restorative
  • Orthodontic / Orthognathic (jaw) surgery
  • Cleft lip / palate
  • Orthodontic / paediatric dentistry management
  • Special needs patient
  • Second opinion

Reason for Referral: [Text]

Priority: [Routine]

Date of Onset: [Date]

Has the patient previously attended the department to which they are being referred?

  • Yes
  • No
  • Don’t know

Has the patient previously attended any NHS Lanarkshire hospitals for treatment?

  • Yes
  • No
  • Don’t know

Please provide details of previous admissions or attendances: [Text]

Does the patient have any special requirements, e.g. disability, autism, etc.:

  • Yes
  • No

Please provide details of special requirements: [Text]


Orthodontics Referral Guideline

 

Dental Orthodontic

Key Messages

Referred patients are seen for assessment by a Consultant Orthodontist.
The majority of orthodontic treatment can be carried out in Specialist Orthodontic Practice and the main role of the NHS Lanarkshire based service is to treat patients with more complex problems, in particular multi-disciplinary cases.

This may include:

  • Patients with clefts of the lip and palate and other craniofacial anomalies
  • Patients requiring combined orthodontic/restorative management
  • Patients requiring combined orthodontic/orthognathic surgery
  • Patients with ectopic teeth requiring minor oral surgery as part of their overall management
  • Patients requiring combined orthodontic/ paediatric dentistry management.
  • Index Of Treatment Need (IOTN) 4 and 5 only should be referred.

In addition, special needs patients where treatment is not practicable within primary care will be accepted. Also, a limited number of “routine” orthodontic cases are required to support training of orthodontic specialists and may be accepted for treatment depending on requirement at any given time.
Patients with a low/borderline need for orthodontic treatment will not be offered treatment within the Orthodontic department.

Oral Hygiene

Patients should be made aware that if their oral hygiene is inadequate they will not be accepted for treatment.

Patients referred with inadequate oral hygiene will be returned to the referring practitioner for appropriate hygiene phase therapy

Adult referrals

Adult referrals (aged 19 or over) will be accepted for assessment but are unlikely to be accepted for treatment unless they have a particularly complex problem or a need for multi-disciplinary management.
Please make this clear to any adults you refer.

Clinical Information

Our referral form provides space for you to give any additional information regarding your reason for requesting orthodontic assessment.

Radiographs

Any relevant radiographs, if available, should be sent as attachments if possible or as hard copy by post with a note to say that the patient has been referred via the SCI Gateway.

Did Not Attend Policy

As per our did ‘Not Attend Policy’ patients will not routinely be offered another appointment if they fail to attend without notifying the service before hand.
If the referrer wishes to re-refer, they may do so but please stress the importance of attending the appointment to the patient.

Please ensure:

In order for your patient to be seen as promptly as possible please ensure:

Patient demographic information is up to date
The referral is completed as fully as possible
The patient is aware of where and why they are being referred
The patient is ready for treatment and their oral hygiene is excellent


Lead Clincian: Ross Jones, Consultant Orthodontist
Review Date: 1st December 2015