Referral for treatment

Criteria for referral is based on parameters related to case severity and complexity.

Case severity is based upon clinical and radiographic parameters and/or the PSR. Complexity is reflected by parameters such as type of periodontal disease, medical status and history, and patient management issues.

Examples of candidates for referral include those with:

Chronic periodontitis with moderate to advanced loss of support
Aggressive forms of periodontal disease
Periodontal disease associated with systemic conditions
Mucogingival conditions
Refractory disease
A need for conscious sedation.

To make a referral please fill in the below form or call us on 09 524-2855.

Patient Referral Form

Patient's Name

First Name

Last Name

Patient's Email

Patient's Phone Number

Summary of Case

Referral Dentist's Name

Referral Dentist's Email

All information supplied remains confidential.

Referral for treatment

Patient Referral Form

With over 10,000 dental implants performed, our specialist team of periodontists and hygienists offer a range of cosmetic and reconstruction options to restore any smile.