Practitioner Referrals

This section is for General Dental Practitioners referring patients to student clinics.

To refer please email UgStudentAppointments@ggc.scot.nhs.uk 
or
Telephone Debbie & Margaret on 0141 211 9656

Information Required:

  • Patient name
  • Date of birth
  • Home address
  • Telephone number
  • Brief case summary
  • Treatment being requested (Perio, Endo, Fixed Pros, Removable Pros, Operative, Combination, or Extractions) 

Patient Acceptance Criteria

General Principles

WE WILL ACCEPT

  • Simple Perio (BPE 1 to 4; see periodontology guidelines)
  • Simple extractions
  • Immediate dentures
  • Direct restorations
  • Partial and complete dentures (see removable pros guidelines)
  • Simple endodontics - de novo / re-RCT (see endo guidelines)
  • Indirect restorations (Inlays, onlays and crowns)
  • Simple bridgework  (see fixed pros guidelines)
  • Internal (non-vital) bleaching 

WE WILL NOT ACCEPT

  • Full mouth rehabilitations or cases which require increasing the OVD
  • Aesthetic cases – veneers, multiple crowns
  • Extensive wear cases
  • Restorative/ Orthodontic cases
  • Dismantling large bridges and their replacement
  • Implants or peri-implantitis
  • Complex endodontic treatment of teeth e.g. curved roots, fractured instruments, resorption cases, wisdom teeth. ( See endodontic acceptance criteria)
  • Trauma cases requiring complex endodontic treatment – MTA plugs
  • Endodontic surgery
  • Periodontal surgery
  • Complex medical histories that affect dental care or patients requiring hospital transport 

ALL PATIENTS SHOULD BE

  • Advised that the initial appointment on a student clinic does not guarantee acceptance for treatment by students
  • Able to attend regularly
  • Willing to attend for multiple long appointments
  • Available for am or pm depending on clinic
  • Aware that treatment is subject to rotations of students and that more extensive treatment plans could take years to complete
  • Warned that if they fail to attend or cancel > 2 appointments then they will be discharged
  • Returned to GDP after 1 course of treatment

 

More detailed information for each aspect of restorative dentistry is detailed in the following tabs 


Fixed Prosthodontics

WE WILL ACCEPT

Work which could be done by a GDP in practice but the GDP/patient prefers it to be done in GDH.

  • Simple Crowns (Max number 4)
    • including tooth coloured posterior crowns where patient finances are an issue in practice - assuming there are no clinical contraindications to such crowns.
  • Simple cantilever bridges
  • Simple fixed, fixed bridges (2 abutments)
  • Simple resin bonded bridges
  • Single bridge dismantling and replacement
  • 2-3 crowns max. for dismantling and replacement
  • Single post removal/assessment
  • Veneers
  • Simple composite build ups – single arch
    • Ideally localised anterior wear 

WE WILL NOT ACCEPT

Any treatment which could not be carried out by a moderately skilled GDP in practice such as

  • Patients for second opinions or treatment planning and referral back to GDP
  • Full mouth rehabilitations or cases which require increasing the OVD
  • Purely aesthetic cases requiring veneers, multiple crowns
  • Extensive wear cases
    • Excessive tooth loss
    • Both arches
    • Generalised
  • Whole mouth dismantling / multiple post removals
  • Repeated crown/bridge fractures due to parafunction
  • Post orthognathic surgery rehabilitation
  • TMD / splint therapy case

Periodontology

WE WILL ACCEPT

Patients who have:

  •             No significant medical history
  •             No complexities of access /compliance /anxiety
  •             Generally pocket depth less than or equal to 6mm - a few (i.e <3 sites)       slightly deeper pockets is acceptable. 

Generally this would be equivalent to BPE score 3, with one or two sextants scoring 4; an example may include patients who fit the above and require a 10c type treatment. 

Patients must be motivated to improve their periodontal health able to attend multiple AM appointments.


Endodontics

Diagnosis and management of patients with uncomplicated endodontic treatment need 

WE WILL ACCEPT

  • Single-rooted teeth
  • Multi-rooted teeth – (not 8s, 7s only for students with prior experience)
  • Primary root canal treatment of teeth with a curvature <30o to root axis and considered negotiable, from radiographic evidence, through their entire length. No root canal obstruction or damaged access, e.g. perforation
  • Removal of intact posts, less than 8mm in length (root canal treatment will be provided on student clinic as indicated)
  • Difficulties with local anaesthesia
  • Previously treated teeth with a poorly condensed root filling short of ideal working length where there is evidence of likely canal patency beyond the existing root filling. No damaged access or evidence of iatrogenic damage, e.g. perforation, ledge
  • Well condensed root fillings short of ideal working length with evidence of likely patency beyond existing root filling where previous treatment did not involve complicating factors. No damaged access or evidence of iatrogenic damage, e.g. perforation, ledge 

Complete Dentures

WE WILL ACCEPT

  • Single or both arches
  • Alveolar ridge still present (Cawood and Howell ridge forms II, III and IV)
  • No medical history that would complicate denture fabrication – stroke, MS, wheelchair bound
  • No tori or other anatomical anomalies
  • No limited opening (trismus)
  • No implant retained dentures (unless originally provided by GDH) 

Patients must be able to attend multiple appointments.


Partial Dentures

Acrylic and chrome based partial dentures provided 

WE WILL ACCEPT

  • Single or both arches
  • Conformist approach to occlusion only
  • No medical history that would complicate denture fabrication – stroke, MS, wheelchair bound
  • No tori or other anatomical anomalies
  • No limited opening (trismus)

Paediatric

All patients must be less than 16 years of age

WE WILL ACCEPT

  • Non-anxious and mildly anxious children for routine treatment of caries in the primary and permanent dentition (restorations and simple extractions)
  • Children  requiring internal bleaching for a previously traumatised tooth if good endodontic therapy has already been provided

 

WE WILL NOT ACCEPT

  • Moderate to severely anxious or difficult to manage children
  • Children clearly requiring a General Anaesthetic
  • Medically compromised children
  • Children requiring a specialist opinion