ortho referrals Flashcards
As a GDP, what are the key things we need to know to help in ortho treatment?
● Know eruption dates + sequence of eruption
● Palpation of maxillary canines from 8-10 years
● Long-term prognosis of first permanent molars
● Anterior crossbite amenable to URA correction
● Non-eruption of a tooth within 6/12 of eruption of the contra-lateral tooth
How many components is IOTN made of?
2
- Dental health component
- Aesthetic component
what is the dental health component 5a?
overjet of over 9mm
in terms of ortho-related extractions. Always ensure that in addition to normal signed informed consent you have:
- Radiographs available
- A letter from the orthodontist stating clearly what teeth are to be extracted –
( telephone conversation or verbal message from patient/ parent is NOT ACCEPTABLE) - You cannot be too careful = check & recheck… it only takes seconds
When (if ever) is the aesthetic component important?
When the DHC is 3. Then if your aesthetic component is 6 or above, it can go for an NHS referral
if you decide to refer for ortho, what things do you need to ensure you have/ discuss?
● Discuss the referral with the pt./parent
● Ensure you have all the relevant information
● OH = compliant
● Radiographs available
● Consent
what should the referal letter include?
● Patient details (name, DOB, sex, address, telephone number)
● Your details
● Date of referral
● Hospital reference number if there has been previous correspondence with the patient
● Medical History + details of Doctor
● Reason for referral
o Description of presenting problem + overall malocclusion
o Patient motivation (+ dental co-operation)
o OH
o IOTN score
o Include any recent radiographs = recent BWs often required
● Position of permanent canines or if not are they palpable
● What would you like the orthodontist to do?
how long can it take for a referred patient to be seen?
about 2 years
- make sure to have a copy of the referral letter and follow it up so the patient is not lost in the system
