Referral Pathway

At Portman we work as a community with our referring dentists. We want dentists who refer to our specialists to feel confident that their patient will receive the very best specialist treatment before the patient resumes their routine treatment with you.

Our aim is to work with the referring practitioner to enhance the service they can offer to their patients.
Part of this community ethos is a commitment from our specialist’s to support you when you need it.  Whether this support is advice via email or on the telephone or through coming to one of our practices for a CPD course or a study club, we hope you will feel Portman is your specialist partner in caring for your patients.
Our policy is to only address those issues for which the patient was referred, and in the event that further treatment might be required, this will not be undertaken prior to discussing it with both the referring dentist and the patient.

How is the referral process managed?

referrals flow_2

What treatment should be referred to a specialist?


It is recommended that patients presenting with one or more of the following symptoms should be referred for a periodontal examination:

  • red, swollen and or bleeding gums
  • periodontal pockets over 4mm
  • smokers
  • generalised recession
  • bone loss observed on radiographs
  • Periodontitis
  • Crown lengthening
  • Root resection and hemisection
  • Peri-implantitis
  • Congenital or drug related gingival enlargement
  • Mucogingival and Periodontal plastic surgery
  • Frenectomy and frenotomy
  • Gingival grafts
  • Root coverage


  • Multi-rooted teeth with complex anatomy
  • Teeth with posts or post crowns
  • Root re-treatment


Patients requiring complex restorative treatment:

  • Full mouth rehabilitation
  • Tooth surface loss
  • Failed crown and bridge restorations
  • Cosmetic treatment such as veneers
  • Removable dentures
  • Patients with medical complications


Portman Healthcare has specialists who can advise and treat patient with:

  • Crowding
  • Crossbite
  • Supernumery teeth
  • Traumatised incisor
  • Spacing
  • Abnormal radiographic findings