Child Dental Health
Criteria for Referral to the Regional
Paediatric Dentistry Service
The Unit of Paediatric dentistry accepts
referrals for children under the age of 16 years.
We accept referrals for:
- Children with complex medical problems
which may affect the provision of dental care.
- Children with developmental problems,
learning difficulties 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 complex restorative or orthodontic
treatment (e.g. Hypodontia, Ameologensis Imperfecta, Dentinogenesis
Imperfecta, Molar Incisor Hypominerisation, Micro / macro-dontia
and delayed eruption).
- Children with soft or hard tissue
pathology such as ulceration, swellings, and cysts.
- Children with non-contact tooth surface
loss, requiring specialist intervention.
- Children with periodontal problems.
- Children with cleft lip and palate and
other cranio-facial anomalies.
- Supernumeraries, odontomes, impacted
teeth, submerging teeth, abnormal frenal attachments, and
tongue-ties which may require surgical management.
- Pre-cooperative children who require
- Children with extreme dental anxiety who
have proven unable to co-operate with routine dental
We DO NOT accept referrals for:
- Routine primary care (e.g. caries in
cooperative children, endodontic treatment in permanent teeth with
- Root canal treatment in permanent molars
unless there is good clinical indication for retention of the
compromised tooth i.e. severe hypodontia.
- Orthodontic extractions under GA.
Guidance for Referral Letter
All referrals must provide the following
- Patient Name
- Date of Birth
- Day time contact number.(no
- Up to date medical history
- The need for an interpreter if required
- Details of any medical consultants/
specialists / paediatricians involved in child's care
- Copy of any relevant radiographs
- Information on any previous treatment
- Charting of carious teeth.
In order to ensure appropriate prioritisation
the following clinical details are also required:
- Indication of urgency (e.g. pain or
- Indication of anxiety
- Recent treatment attempted (e.g. failed
extraction under local anesthesia).
Access to the Paediatric Dentistry GA
or sedation services.
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
Further Information may be found on the General
Dental Council web site.
Emergency / Acute Referrals
The Department provides an Emergency service
only for children with acute pain, infection, bleeding or acute
dentoalveolar injury. This service operates weekday mornings only
(except public holidays) and patients should be advised to arrive
between 8:30 to 9:00 am, as the service works on first come, first
served basis. Each case is assessed for urgency and prioritized by
a triage nurse. Extreme cases (i.e. severe extra oral swellings,
avulsed or severely displaced teeth may be referred via telephone
call to the Department on 0161 275 6707.
Inappropriate/ inadequate referrals will be
returned. Your compliance with the above guidelines will avoid
unnecessary delays in patient care. Thank You.
Whenever possible please use the referral form
available by clicking here