To make a referral, please read our dental service referral information.

Your patient must have:

  • 2 accurately recorded six-point pocket charts prior to and following treatment if the referral is for periodontal disease
  • current and dated diagnostic electronic radiographs of the affected sites clearly demonstrating periodontal bone levels 
  • a plaque distribution chart and % plaque score

Your referral will be rejected if you fail to include any of the above.

Acceptance criteria

We are likely to accept patients with:

  • periodontitis, such as stage III/ IV, grade B/C in patients who have had at least one course of oral hygiene instruction, supra-gingival and sub-gingival PMPR with local anaesthesia 
  • periodontitis in children and adolescents showing atyipcal radiographic bone loss
  • acute problems, such as desquamative gingivitis, necrotising periodontal disease
  • medical conditions affecting the periodontium or a concurrent medical factor that affects the periodontal tissues
  • drug induced gingival conditions and localised gingival swellings, such as an epulis
  • teeth which need periodontal surgery
  • management of furcation defects and other complex root morphologies 
  • non-plaque induced periodontal disease
  • mucogingival problems, such as gingival recession

Exclusion criteria

We do not accept referrals for patients if:

  • their oral hygiene is poor or inadequate
  • there are obvious/gross calculus deposits
  • they have untreated primary disease, such as caries, failing restorations, retained roots, incomplete root canal treatments
  • they are undergoing or are already having periodontal care elsewhere

You will need to continue to see your patient for routine examinations and treatment (including emergency treatment) and continue to provide all other aspects of your patient's dental care including any recommendations made by the hospital. 

If your patient needs any extractions, restorations, root canal treatments and/or prostheses, it is expected that you will continue to provide these treatments in a timely manner, or refer your patient to an appropriate alternative if outside your scope of practice.

Last updated: August 2023

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