Who are we?
The Regional Paediatric Dentistry Service provides a
Consultant-led Dental service for the diagnosis and management of
oral health disorders in children and young people under the age of
16 years (up to the age of 19 years in some special
Secondary care referrals are received from the General Dental
services, Community Dental services, General Medical Practitioners
from Barrow to Staffordshire. Tertiary referrals are received from
Consultant medical colleagues in the Children's Hospital and other
Hospitals within and beyond the North West Region, Dental
Consultant colleagues and Community Dental partners throughout the
North West region.
To learn more about our
Consultants click here.
Where are we?
Regional Paediatric Dentistry Service is located in the Department
of Child Dental Health in the University of Manchester Dental
Hospital (UDH) and the Dental Health Unit, Royal Manchester
Children's Hospital (RMCH).
Who can access our Service?
We accept referrals for:
- Children with complex medical problems which may affect the
provision of dental care. These children will usually be seen in
the Dental Health Unit in Royal Manchester Children's Hospital, and
should be referred to Dr Hood directly.
- Children with developmental problems, special needs, learning
difficulties, autism and behavioural problems, who are unable to
co-operate for routine dentistry.
- Children who have sustained complex dental trauma (e.g. pulp
involvement in immature teeth).
- Children with congenital or acquired dental anomalies who may
require multidisciplinary management involving a combined
restorative / orthodontic / surgical treatment (e.g. Hypodontia,
Amelogenesis Imperfecta, Dentinogenesis Imperfecta, Molar Incisor
Hypominerisation, Micro / macro-dontia, supernumerary teeth,
infra-occluded teeth and delayed eruption).
- Children with soft or hard tissue pathology such as oral
ulceration, swellings, and cysts.
- Children with non-contact tooth surface loss, requiring
- Children with periodontal problems.
- Children with cleft lip and palate and other cranio-facial
- Children with supernumeraries, odontomes, impacted teeth,
submerging teeth, abnormal frenal attachments, and tongue-ties
which may require surgical management.
- Pre-cooperative children who require extractions
- Children with extreme dental anxiety who have proven unable to
co-operate with routine dental treatment, and may require sedation
or treatment under General Anaesthesia (where no local service is
We DO NOT accept referrals for:
- Routine primary care (e.g. caries in cooperative children,
endodontic treatment in permanent teeth with closed apex).
- Root canal treatment in permanent molars unless there is good
clinical indication for retention of the compromised tooth i.e.
- Orthodontic extractions under GA.
Guidance for Referral Letter information
All referrals must provide the following information:
- Patient Name
- Date of Birth
- Day time contact number.(no call-barring)
- Up to date medical history
- The need for an interpreter if required (specify
- Details of any medical consultants/ specialists /
paediatricians involved in child's care.
- Copy of any relevant radiographs.
- Information on any previous treatment provided
- Charting of carious teeth.
- In order to ensure appropriate prioritisation the following
clinical details are also required:
- Indication of urgency (e.g. pain or swelling)
- Indication of anxiety
- Recent treatment attempted (e.g. failed extraction under local
Access to the Paediatric Dentistry GA or sedation
If appropriate the Regional Paediatric Dentistry service
provides GA, IV and inhalation services for children from Central
Manchester PCT. It also provides a tertiary service for those
children who require more complex specialist treatments, or who are
unsuitable for GA or sedation in a local District General Hospital
setting, or where this service is not available locally.
Referrals for extractions under General Anaesthesia or sedation,
should follow the guidelines published by the GDC in Maintaining
Standards. Guidance to Dentists on Professional and Personal
Conduct. 1997; Paragraph 4.18;
"Clear justification for the use of General Anaesthesia,
together with details of the relevant medical and dental histories,
must be contained in the referral letter."
Further Information may be found at: www.gdc-uk.org
Practitioners are advised to contact their local PCT-DS provider
regarding access to local GA extraction services for children, in
the first instance.
Emergency / Acute Referrals
NHS Direct Dental helpline number 0161 230 6011.
The Regional Paediatric Dental Service does not provide a
routine dental access service for children. If a child attends the
Dental Hospital in pain they will be directed back to their local
primary care provider. If they are not registered with a Dentist,
they will be signposted to the NHS Direct local helpline (above) to
access one of 30 protected emergency slots across the region. An
appointment closest to home will be offered. If they attend the
dental Hospital seeking routine care, the helpline will advise on
which dental practice closest to their home has capacity.
Dental Practitioners wishing to make an emergency referral for a
child under their care with acute extra-oral swelling, infection,
intractable bleeding or acute dentoalveolar injury, must telephone
the Department and speak to the Triage team / Consultant in charge
on that day, before sending a patient to the Dental Hospital.
Please ring 0161 275 6707 for advice on how we can best help your
patient receive the appropriate care..
Inappropriate/ inadequate referrals will be returned. Your
compliance with the above guidelines will avoid unnecessary delays
in patient care.
Click here for directions to the Hospital