Periodontology is the management of patients with disorders of the gums and the supporting structures including teeth.
Patients are seen for advice, diagnosis and second opinion; as well as treatment, providing they meet the eligibility criteria.
The department provides treatment for those patients in conjunction with the referring practitioner, on a shared-care basis. There is a strong focus of putting patients at the core of the department's educational and research activities, such that disease presentation often forms the research questions. Patient treatment is usually offered within the context of clinical projects, in line with the research governance guidelines, where deemed suitable.
The department has a strong reputation both in the clinical and research field, and has led research strategies in the field of systemic health and oral disease, as well as preventive strategies and clinical outcomes.
Periodontology services provides consultation and joint multidisciplinary clinics:
- Eight new patient consultation clinics per week. A large number of new patient appointments are by telephone/virtual clinic
- Telephone/virtual and face-to-face consultations for follow-up care
- Daily follow-up, treatment and review clinics
- A joint clinic with orthodontics runs once every eight weeks
- Additional multidisciplinary clinics with other departments within the RNENT and Eastman Dental Hospitals.
Patient contact
General enquiries
Other contact information
Treatment enquiries: 020 3456 1030
Email: uclh.enquiries.restorativedentistry@nhs.net
Correspondence address:
Department of Restorative Dentistry
RN ENT & EDH
250 Euston Road
London NW1 2PG
Other referral information
Urgent referrals should be clearly marked and are given priority.
Referrals not providing BPE (Basic Periodontal Examination) scores will not be accepted.
Waiting times for consultation: up to 8 weeks
Referral address
Eastman Central Registry for Appointments (ECRA)
Division of Restorative Dentistry Periodontology
Royal National ENT and Eastman Dental Hospital
47-49 Huntley Street
London
WC1E 6DG
The periodontology department offers treatment within the following areas:
- Medical conditions affecting the periodontium
- Acute problems such as desquamative gingivitis, necrotising gingivitis
- Periodontitis, e.g. periodontitis stage III/IV with grade B/C (with BPE scores of 4) in patients who have had a course of oral hygiene instruction, supra-gingival scaling and subgingival debridement
- Mucogingival problems
- Patients with missing teeth requiring ridge augmentation and dental implants
- Patients with problems around dental implants (peri mucositis and peri-implantitis)
12,800 patients are seen each year, of whom approximately 2,400 are new patients.
- Retained roots requiring surgical removal
- Multiple extractions with moderate to severe complexity, e.g. bulbous and sclerosed/ankylosed teeth
- Impacted wisdom teeth that are causing persistent problems
- Other impacted teeth
- Cystic lesions of the jaws
- Abnormal swellings of the jaws and associated soft tissues
- Jaw fractures
- Infections and chronic lesions related to any of the above
- Myofascial pain
- Patients requiring multidisciplinary care
- Patients with craniofacial and facial deformity
- BPE/CPITN scores 3, 4 (pockets >5.5mm)
- Medical conditions affecting the periodontium
- Acute problems, e.g. desquamative gingivitis, necrotising gingivitis
- Aggressive/advancing forms of periodontal diseases, e.g. periodontitis stage III/IV with grade B/C
- Non-responding patients with periodontal probing depths >5.5mm
- Mucogingival problems including ridge enhancement
- Patients requiring intraoral/minor grafting and/or socket preservation procedures in preparation for implant treatment
- Patients that have peri-mucositis or peri-implantitis around dental implants
- Multidisciplinary care interfacing across other disciplines, e.g. orthodontics, restorative, systemic
- Patients with advanced periodontal problems requiring integrated care and/or associated with systemic diseases.
Patients with poor oral hygiene, gross calculus deposits and primary dental disease, e.g. caries / failing restorations, will not normally be accepted; including those in the midst of periodontal care elsewhere.
