E-Consultation
Twenty One dental clinic dentist New Church Road Brighton Hove

Clinical Referrals

WHY CHOOSE TWENTYONEDENTAL?

  • A clinic that you and your patients can trust
  • We believe in providing outstanding treatment using only the highest quality materials and equipment, based on clinical evidence
  • Our clinical care team are highly skilled professionals with an exceptional reputation
  • Same day appointments available
  • Free on-site parking for your patient
  • Convenience of early morning and late night appointments

WORKING IN PARTNERSHIP

TwentyOneDental believe in working in close partnership with you, the referring dentist. By doing this, we are able to complement your services and broaden the range of treatment options available for the benefits of your patients.

You can be confident in using our services as we provide an assurance that we will only treat patients for the issue they have been referred, ensuring that they are returned to your care upon completion of their treatment.

WOULD YOU LIKE TO DISCUSS THE CASE YOU ARE REFERRING?

Should you prefer to initially discuss a case you wish to refer to us, please telephone our private referrals coordinator Kayleigh Pizzey on 01273 202102. Alternatively, you can email at the following address kayleigh@twentyonedental.co.uk. Kayleigh oversees all private referrals to our clinic and will be very happy to help organise this for you.

Kayleigh Pizzey

TREATMENT & PRIVATE REFERRALS COORDINATOR

Kayleigh is our dedicated and extremely experienced Treatment (including patient finance) & Private Referrals Coordinator.

Privileged to have Kayleigh compliment our exemplary team members with her considerable knowledge and extremely high skill set of all our leading dental treatments and options available. Such experience really helps understand specific patient requirements in order to achieve the smile they want and truly deserve.

Imaging Referral

      Please complete all the fields below to provide us with as much information about the referral as possible

      Patient Details







      • Referrers Details






      • History

      • Area of Interest (CBCT Only)

      Please click on the tooth notation relating to the area of interest (must specify tooth*)

      Upper Right

      Upper Left

      Lower Right

      Lower Left

      MaxillaBoth JawsMandibleSectional
      Small Volume
      YesNo
      Specific Volume Size
      80mm x 80mm50mm x 80mm80mm x 50mm50mm x 50mm

      • Examination Required

      Digital PanoramicCone Beam CT3D Face Mapping (Planmeca Pro Face) – *This can be carried out with the CBCT scan – No ionising radiationWill patient wear a radiographic stent?

      Software Delivery

      We supply Romexis One Viewer, fully functional software with every scan.

      The CBCT scans are delivered via Romexis Cloud using 256 Bit encryption for all data and transfers.

      DPT’s delivered via email.

      • * all fields must be completed before submitting this form

      I’d like to be informed of exclusive offers and other practice information Yes

      *By Clicking ‘Send’ You Are Consenting To Us Replying, And Storing Your Details. (see our privacy policy).

    Oral Surgery Referral

        Please complete all the fields below to provide us with as much information about the referral as possible

        Patient Details







        • Referrers Details






        • History

        • Area of Required Treatment

        Please click on the tooth notation relating to the area of interest (must specify tooth)

        Upper Right

        Upper Left

        Lower Right

        Lower Left

        Status & Required Treatment

        (Please tick all that apply)

        Assessment and AdviceComplex Surgical ExtractionApicectomySinus Lift ProcedureTunnel GraftingSoft Tissue GraftingImpacted Third Molar ExtractionFranectomy

        Assessment & Advice

        Is sedation required?

        If yes, please complete the sedation referral form.

        • * all fields must be completed before submitting this form

        I’d like to be informed of exclusive offers and other practice information Yes

        *By Clicking ‘Send’ You Are Consenting To Us Replying, And Storing Your Details. (see our privacy policy).

      Implant Referral

          Please complete all the fields below to provide us with as much information about the referral as possible

          Patient Details







          • Referrers Details






          • History

          • Area of Required Treatment

          Please click on the tooth notation relating to the area of interest (must specify tooth)

          Upper Right

          Upper Left

          Lower Right

          Lower Left

          Status & Required Treatment

          (Please tick all that apply)

          Surgical Implant PlacementSinus Lift ProcedureRestoration of ImplantSoft Tissue Grafting

          • * all fields must be completed before submitting this form

          I’d like to be informed of exclusive offers and other practice information Yes

          *By Clicking ‘Send’ You Are Consenting To Us Replying, And Storing Your Details. (see our privacy policy).

        IV Sedation Referral

            Please complete all the fields below to provide us with as much information about the referral as possible

            Patient Details







            • Referrers Details






            • History

            • Area of Required Treatment

            Please click on the tooth notation relating to the area of interest (must specify tooth)

            Upper Right

            Upper Left

            Lower Right

            Lower Left

            Status & Required Treatment

            (Please tick all that apply)

            Intravenous SedationIntranasal Sedation

            • * all fields must be completed before submitting this form

            I’d like to be informed of exclusive offers and other practice information Yes

            *By Clicking ‘Send’ You Are Consenting To Us Replying, And Storing Your Details. (see our privacy policy).

          Short Term Orthodontics Referral

              Please complete all the fields below to provide us with as much information about the referral as possible

              Patient Details







              • Referrers Details






              • History

              • Area of Required Treatment

              Please click on the tooth notation relating to the area of interest (must specify tooth)

              Upper Right

              Upper Left

              Lower Right

              Lower Left

              Status & Required Treatment

              (Please tick all that apply)

              Six Month SmilesInvisalign LiteInvisalign FullInvisalign i7

              • * all fields must be completed before submitting this form

              I’d like to be informed of exclusive offers and other practice information Yes

              *By Clicking ‘Send’ You Are Consenting To Us Replying, And Storing Your Details. (see our privacy policy).

            Endodontic Referral

                Please complete all the fields below to provide us with as much information about the referral as possible

                Patient Details







                • Referrers Details






                • History

                • Area of Required Treatment

                Please click on the tooth notation relating to the area of interest (must specify tooth)

                Upper Right

                Upper Left

                Lower Right

                Lower Left

                Status & Required Treatment

                (Please tick all that apply)

                Acute symptoms, pain or swellingTooth is open for drainageRe – Root Canal TreatmentPulp exposed and bleeding (temp filling)Post removalCrowned ToothTemporary filling?Permanent restorationApicectomy

                Assessment & Advice

                Is sedation required?

                If yes, please complete the sedation referral form.

                • * all fields must be completed before submitting this form

                I’d like to be informed of exclusive offers and other practice information Yes

                *By Clicking ‘Send’ You Are Consenting To Us Replying, And Storing Your Details. (see our privacy policy).

              Prosthodontist Referral

                  Please complete all the fields below to provide us with as much information about the referral as possible

                  Patient Details







                  • Referrers Details






                  • History

                  • Area of Required Treatment

                  Please click on the tooth notation relating to the area of interest (must specify tooth)

                  Upper Right

                  Upper Left

                  Lower Right

                  Lower Left

                  Status & Required Treatment

                  (Please tick all that apply)

                  Acute symptoms, pain or swellingTooth is open for drainagePulp exposed and bleeding (temp filling)Post removalCrowned ToothTemporary filling?Permanent restorationApicectomyBridgesCrownsDenturesFull Mouth RehabilitationImplant RestorationVeneers

                  Assessment & Advice

                  Is sedation required?

                  If yes, please complete the sedation referral form.

                  • * all fields must be completed before submitting this form

                  I’d like to be informed of exclusive offers and other practice information Yes

                  *By Clicking ‘Send’ You Are Consenting To Us Replying, And Storing Your Details. (see our privacy policy).

                Periodontist Referral

                    Please complete all the fields below to provide us with as much information about the referral as possible

                    Patient Details







                    • Referrers Details






                    • History

                    • Area of Required Treatment

                    Please click on the tooth notation relating to the area of interest (must specify tooth)

                    Upper Right

                    Upper Left

                    Lower Right

                    Lower Left

                    Status & Required Treatment

                    (Please tick all that apply)

                    Untreated periodontal diseaseTreated/Non-Responsive periodontal disease (residual bleeding pockets of 4mm or greater)Peri-Implant disease (Peri-Implant mucositis/Peri-Implantitis)Gingival hypertrophy/hyperplasiaGingival recessionGummy smile (aesthetic crown lengthening)Pre-Restorative crown lengtheningMedication associated periodontal diseaseOral manifestation of systemic conditionsMucogingival conditionsNon-Plaque-Induced periodontal disease (e.g. Viral/Autoimmune/Vesiculo-bullous)Advice or Opinion on in-remission cases

                    Assessment & Advice

                    Is sedation required?

                    If yes, please complete the sedation referral form.

                    • * all fields must be completed before submitting this form

                    I’d like to be informed of exclusive offers and other practice information Yes

                    *By Clicking ‘Send’ You Are Consenting To Us Replying, And Storing Your Details. (see our privacy policy).

                  We look forward to welcoming you into our friendly clinic
                  book online

                  Address

                  We are situated to the West of Hove Museum (on the corner of New Church Road and Pembroke Gardens) TwentyOneDental, A Digitally Advanced Dental, Implant & Specialist Referral Centre, 21 New Church Road Brighton & Hove BN3 4AD.

                  Phone

                  01273 202 102

                  Whatsapp

                  07495510965

                  Email

                  hello@twentyonedental.co.uk

                  Opening Hours

                  Monday
                  8:00am - 7:00pm
                  Tuesday
                  8:00am - 5:00pm
                  Wednesday
                  8:00am - 5:00pm
                  Thursday
                  8:00am - 5:00pm
                  Friday
                  8:00am - 3:00pm
                  Saturday
                  By appointment only
                  Please note: We are open to patients arriving from 8am but our telephone lines are not open until 8.15am