Prosthodontics is the reconstruction and replacement of teeth damaged as a result of congenital disorders and traumatic injuries, and includes the rehabilitation of patients with tissue lost as a result of injury/ cancer/ other oral conditions.
Patients, often with complex treatment needs, are seen for diagnosis, advice and may be accepted for treatment. Those with complex treatment needs receive management within the hospital setting. The department has a strong educational focus and drive with treatment outcomes, which often complement the department's treatment strategies. The treatment for patients is focused on multidisciplinary treatment needs and is often undertaken in conjunction with/ via a shared care arrangement with the referring practitioner.
The department provides an advisory service for less complex cases to facilitate treatment to be carried out by patients own general dental practitioners (primary care). In more complex cases we may be able to offer all or part of the treatment in the department. Much of this treatment is carried out by hospital dentists undergoing specialist training and by dental postgraduates who are undertaking higher degrees such as MSc courses in Conservative Dentistry, or an MClinDent programme in Prosthodontics.
Patients are expected to maintain a good standard of oral care to ensure that any treatment will be long-lasting, and also to maintain regular contact with their own primary care practitioners. Upon completion of active treatment, patients are discharged back to the routine care of their own dental care provider. Any longer-term maintenance and replacement work would need to be provided by the General Dental Practitioner.
We are unable to accept patients with failing crowns and bridgework for treatment. We are also unable to accept patients for treatment for remedial work, eg implant therapy performed elsewhere, but are happy to provide an opinion. Please note Implant therapy is only available (subject to approval) for patients meeting established commissioning guidelines for NHS implant funding, which include conditions such as hypodontia/ acquired or congenital orofacial defects, head and neck cancer and some cases of dental trauma.
Patient contact
Address
Prosthodontics
Royal National ENT and Eastman Dental Hospitals
47-49 Huntley Street
London
WC1E 6DG
Other referral information
Only ELECTRONIC referrals will be accepted, via the referral Proforma.
Referrals must include details of treatment that has been initiated and any difficulties encountered.
Criteria for acceptance for treatment
- Congenital abnormalities of the dental tissues e.g. clefts
- Acquired orofacial defects; e.g. road traffic accidents, cancer surgery
- Advanced tooth surface loss
- Occlusal disorders
- Complex prosthetic challenges (including removable prosthodontics)
- Patients with multidisciplinary problems; e.g. hypodontia
Please Note:
- Patients with poor oral hygiene, unstable and primary caries, and those with previously failed crown and bridgework will not normally be accepted for treatment
- Acceptance is based upon complexity; in the majority of cases we will offer an advisory only service or offer a shared care plan with the primary care practitioner
Access to patient results
Results of investigations are included within patient letters.
Referral address
Division of Restorative Dentistry Prosthodontics
Royal National ENT and Eastman Dental Division
2nd Floor Central
179a Tottenham Court Road
London
W1T 7PA
Prosthodontics is concerned with the treatment of adult patients with complex clinical problems requiring all types of operative and fixed and removable prostheses (including fillings, crowns, bridges, implants and dentures to restore lost or missing teeth) in order to achieve restoration of appearance and occlusal function. Teeth may be lost for many reasons, such as tooth decay, gum disease, dental trauma, cancer or congenital/ acquired conditions.
Acceptance for treatment in the department is based upon complexity and following a Consultation with one of our team.
11,600 patients are seen annually, of whom approximately 2,250 are new patients.
