Acceptance criteria for restorative dentistry - Barts Health NHS Trust

Endodontic referrals should be accompanied by dated, current relevant and accurately (taken and
developed) peri-apical radiographs, stapled to the referral letter. When photocopies of electronic
radiographs are sent they need to be of a high quality and diagnostically useful. Only a small proportion
of such referrals will be accepted for treatment and may be drawn from the following:
a/ Those with complex or narrow root canal anatomy where the tooth is restorable or strategically
important
b/ Management of open apices, resorption and trauma in young teeth
c/ Separated instruments where the prognosis of the tooth is viable
d/ Surgery in the presence of excellent quality conventional obturation
e/ Non-surgical re-treatment of strategically important posterior teeth
c. Periodontics
Patients who have poor oral hygiene with gross deposits and primary dental disease will not normally be
accepted.
All referred patients must have an accurately recorded BPE and an additional description of
periodontal treatment provided to date, including an accurate plaque score.
Those who may be accepted include patients with:
a/ Pockets > 6mm (BPE 4) in patients < 35 yrs
b/ Severe chronic periodontitis in patients who have had a course of oral hygiene instruction with plaque
scores