{"id":211,"date":"2014-12-05T14:44:10","date_gmt":"2014-12-05T14:44:10","guid":{"rendered":"http:\/\/lincolnorthodontics.co.uk\/news\/?p=211"},"modified":"2015-09-11T03:52:15","modified_gmt":"2015-09-11T03:52:15","slug":"orthodontic-referrals-important-advice-for-the-gdp","status":"publish","type":"post","link":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/orthodontic-referrals-important-advice-for-the-gdp\/","title":{"rendered":"Orthodontic referrals: important advice for the GDP"},"content":{"rendered":"<p><img loading=\"lazy\" class=\"alignnone size-full wp-image-213\" title=\"orthodontic referrals\" src=\"\/blog\/wp-content\/uploads\/2014\/12\/referralimage.jpg\" alt=\"\" width=\"598\" height=\"326\" srcset=\"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-content\/uploads\/2014\/12\/referralimage.jpg 598w, https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-content\/uploads\/2014\/12\/referralimage-300x164.jpg 300w\" sizes=\"(max-width: 598px) 100vw, 598px\" \/><\/p>\n<p>We are always pleased to receive referrals from colleagues: however, we would like to take this opportunity to clarify that referral letters should include the following information:<\/p>\n<p>1. Patient address and contact details<\/p>\n<p>2. Reason for referral i.e. treatment, advice<\/p>\n<p>3. Salient features of patient\u2019s malocclusion<\/p>\n<p>4. History of previous treatment<\/p>\n<p>5. Recent relevant radiographs where available<\/p>\n<p>If the above information is not provided the referral might not be accepted, but returned to the referrer to request the appropriate information.<\/p>\n<p>To assist in this process, we are planning to introduce a standardised referral form. These will be distributed to you shortly and will also be available for download from our website.<\/p>\n<p>It is important that patients are advised, on referral, that treatment may not be available under the new NHS guidelines.<\/p>\n<p align=\"center\"><strong><em>Patients will not be accepted onto our treatment waiting lists if oral hygiene is poor or there is evidence of active dental disease.<\/em><\/strong><\/p>\n<p><!--more--><\/p>\n<p><strong><span style=\"text-decoration: underline;\">When to refer in the mixed dentition<\/span><\/strong><\/p>\n<ul>\n<li><strong><em>Lack of palpable canine bulges<\/em><\/strong> buccally at 10-11 years indicating possible palatal impaction of canines;<\/li>\n<li>Asymmetry in the <strong><em>pattern of eruption<\/em><\/strong> (especially upper incisors) more than 6 months difference;<\/li>\n<li>Anterior or posterior crossbites <strong><em>with associated mandibular displacements;<\/em><\/strong><\/li>\n<li>Hypodontia (missing teeth) or supernumerary teeth;<\/li>\n<li>Submerging deciduous molars or impacted first permanent molars;<\/li>\n<li><strong><em>Severe<\/em><\/strong> incisor crowding;<\/li>\n<li>Class II\/1 malocclusion with an underlying skeletal II pattern. Most<\/li>\n<\/ul>\n<p>functional appliances are easiest to wear when upper 4|4 are fully erupted. Such a<\/p>\n<p>patient entering his or her pubertal growth spurt should be referred without delay;<\/p>\n<ul>\n<li>Class III malocclusion in the mixed dentition;<\/li>\n<li>Severely hypoplastic or carious first permanent molars with poor long-term prognosis.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"text-decoration: underline;\">Patients\u2019 responsibilities during treatment<\/span><\/strong><\/p>\n<p>Orthodontic treatment depends on teamwork, and good patient compliance is essential to achieve a successful outcome. It is important therefore that the referring practitioner informs patients before they are referred that:<\/p>\n<p>1. All appointments should be kept.<\/p>\n<p>2. Appliances must be worn as instructed.<\/p>\n<p>3. Dietary advice and oral hygiene instruction must be strictly adhered to.<\/p>\n<p>4. Treatment generally takes between 18 to 30 months followed by a<\/p>\n<p>period of retention.<\/p>\n<p>5. Appliances will be removed and treatment discontinued if there is<\/p>\n<p>persistent poor oral hygiene, broken appliances, poor compliance with<\/p>\n<p>instructions or failed appointments.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We are always pleased to receive referrals from colleagues: however, we would like to take this opportunity to clarify that referral letters should include the following information: 1. Patient address and contact details 2. Reason for referral i.e. treatment, advice 3. Salient features of patient\u2019s malocclusion 4. History of previous treatment 5. Recent relevant radiographs [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/posts\/211"}],"collection":[{"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/comments?post=211"}],"version-history":[{"count":2,"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/posts\/211\/revisions"}],"predecessor-version":[{"id":263,"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/posts\/211\/revisions\/263"}],"wp:attachment":[{"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=211"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=211"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lincolnorthodontics.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}