At Brentwood Orthodontic & Implant Centre, we are pleased to accept referrals from dentists in Brentwood and the surrounding area. Our continued high levels of patient satisfaction have resulted in a steady stream of new referrals from clinicians throughout the area.
We like to ensure the referral process is efficient, rapid and reliable. In order to make the service quick and efficient please see the links below, which allow you to print out a downloadable PDF referral form which can be either faxed, posted or sent via email through NHS net. Our NHS net email address is . We ask you to kindly forward up-to-date contact details for your patients with e-mail addresses for you and them, where possible to allow for better communication.
Please click through to the relevant Tab below:
Dental Implants / Oral surgery
To download the referal form Click Here
NHS Eligibility Criteria
The NHS Orthodontics and the IOTN
Index of Orthodontic Treatment Need (IOTN)
The Index of Orthodontic Treatment Need (IOTN) is used nowadays to assess the need for NHS orthodontic treatment. Children under 18 years are eligible for treatment on dental health grounds if the grade on the IOTN scale is high enough. Here is an easy to understand version of the assessment an orthodontist will carry out:
The Dental Health Component (DHC) has 5 Grades
Grade 1 is almost perfection,
Grade 2 is for minor irregularities such as:
- Slightly protruding upper front teeth
- Slightly irregular teeth
- Minor reversals of the normal relationship of upper and lower teeth which do not interfere with normal function.
Grade 3 is for greater irregularities which normally do not need treatment for health reasons.
- Upper front teeth that protrude less than 4 mm more than normal
- Reversals of the normal relationship of upper teeth which only interfere with normal function to a minor degree; by less that 2 mm.
- Irregularity of teeth which are less than 4 mm out of line
- Open bites of less that 4 mm
- Deep bites with no functional problems
Grade 4 is for more severe degrees of irregularity and these do require treatment for health reasons.
- Upper front teeth that protrude more than 6 mm
- Reversals of the normal relationship of upper teeth which interfere with normal function greater than 2 mm
- Lower front teeth that protrude in front of the upper more than 3.5 mm
- Irregularity of teeth which are more than 4 mm out of line
- Less than the normal number of teeth (missing teeth) where gaps need to be closed
- Open bites of more than 4 mm
- Deep bites with functional problems
- More than the normal number of teeth (supernumerary teeth)
Grade 5 is for severe dental health problems
- When teeth cannot come into the mouth normally because of obstruction by crowding, additional teeth or any other cause.
- A large number of missing teeth.
- Upper front teeth that protrude more than 9 mm
- Lower front teeth that protrude in front of the upper more than 3.5 mm and where there are functional difficulties too
- Cranio-facial anomalies such as cleft lip and palate.
The Aesthetic Component (AC)
The NHS does realise that some children need orthodontic treatment just because their teeth look really bad. The Aesthetic Component is a scale of 10 colour photographs showing different levels of dental attractiveness. The grading is made by the orthodontist matching the patient to these photographs. The photographs were arranged in order by a panel of lay persons.
Dentists will refer patients to us for a specialist IOTN assessment so that we can determine and secure their NHS entitlements.
We are currently assessing patients from the ages of 7-18 years.
At Brentwood Orthodontic & Implant Centres we do not have any waiting lists for assessments or for treatment and most patients who qualify are receiving their NHS entitlement immediately. If your child has been on a waiting list elsewhere you can ask your dentist to make a referral to Brentwood Orthodontic & Implant Centre. In view of the current NHS directive with regards to waiting lists, our services are fully compliant and we have a high level of patient satisfaction