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.

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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 drainageRe – Root Canal TreatmentPulp 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).

                We look forward to welcoming you into our friendly clinic
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                Address

                We are situated to the West of Hove Museum (on the corner of New Church Road and Pembroke Gardens) TwentyOneDental, Digital Dentistry & Implant Clinic 21 New Church Road Brighton & Hove BN3 4AD

                Phone

                01273 202 102

                Whatsapp

                07495510965

                Email

                hello@twentyonedental.co.uk

                Opening Hours

                Monday
                8:00am - 8:00pm
                Tuesday
                8:00am - 8:00pm
                Wednesday
                8:00am - 8:00pm
                Thursday
                8:00am - 8:00pm
                Friday
                8:00am - 8:00pm
                Saturday
                By appointment only