1. Initial Contact
Most new patients attending LCIAD come via recommendations by other patients or via direct referral from your dental surgeon or medical practitioner.
Our reception and treatment coordination team will make contact with you to guide you through the initial stages prior to your consultation.
We appreciate that many of our patients lead busy lives and we will keep trying to contact you to arrange the earliest appointment to suit your diary if we cannot get through to you first-time.
2. Completion of online Medical and Dental Questionnaire (MDQ)
Our first request from you will be the online completion of our Medical and Dental Questionnaire (MDQ) on the link below.
It is important you do this well in advance of your appointment in the comfort of your own home to ensure that the information you give us is as comprehensive and accurate as possible. We will study this document in advance of your appointment to ensure that we tailor your care and the advice we give you.
Please be as thorough as possible and spend time to complete this form as fully as you can in your own time. We may seem to ask a lot of questions but we are known for being extremely thorough! This form has been developed over many years to ensure that we have all the information required to give you the best treatment without anything being missed.
We must receive this questionnaire at least 48 hours before your appointment to ensure that we are fully familiar with your medical and dental history and what you wish to get out of your consultation. Please be aware that we will request return of this completed questionnaire before confirming your consultation appointment.
3. Consultation appointment confirmation and payment of dental consultation fee
Once we have received your completed MDQ, our receptionist or treatment co-ordinator will confirm your consultation appointment and request a £400 consultation fee which will be payable in full prior to your appointment date.
4. Consultation with dental surgeon and treatment coordinator
The way LCIAD works may be quite different from what you are used to. Your first consultation visit will normally take between 1½ and 2 hours depending on the complexity of your case.
Every patient that attends LCIAD will go through the same consultation and information collection process, even if you feel that your problem may be minor, or you only would like us to look at one thing. It enables you to meet the team, experience the environment of the practice and allows time and privacy for you to tell your dental surgeon exactly what you expect. Every patient is different, and we need time to get to know you. However, we always systematically collect the same information so that nothing is missed.
As soon as you attend the practice, we are responsible for your general as well as your dental well-being. It is our duty to ensure that we record and communicate to you every finding that may be of relevance to you even if you are unaware that you have a problem.
You will initially see our patient and treatment coordinator who will welcome you to the practice, ensure that we have recorded all your details correctly and then introduce you to your dental surgeon who will carry out the consultation.
They will then make some detailed initial observations and give you a broad idea of what your treatment may entail.
Our objective is to provide you with a strategy for treatment and aftercare to limit the need for extensive dental work in the future as much as possible. This takes a lot of information collection during your visit and planning time in your absence. We may need more than one consultation visit to ensure that we have collected all of the information we require to give you the best advice.
5. Booking of initial hygiene appointment and complimentary follow-up discussion appointment after dental report
We will book a follow-up appointment 2 to 3 weeks after your initial consultation to give you an opportunity to discuss its content and ask any questions you may have face-to-face. We will also to introduce you to our hygienist and therapist Rosanna Hosker-Thornhill.
At the same visit, you will also meet with our treatment coordinator to go over any questions you may have regarding your dental report
6. Completion of dental report, treatment plan and estimate
It takes us at least an hour of additional time to analyse your case and then a further hour to write to you with your Preliminary Dental Report. This is normally done outside clinical hours and normally during weekends.
We normally aim to have your preliminary dental report with you within two working weeks of your consultation though it may be longer if your dental surgeon has any conference or lecturing activities on the weekend following the consultation.
Your treatment report will normally be emailed to you as a PDF document for you to either sign and return digitally or to print out and bring with you for signing at your review appointment. For the consideration of the environment we do not normally print our reports.
If you have any questions regarding your dental report, we encourage you to email your dental surgeon to ask them so that you are clear as to the details of our proposal.
7. Dental report discussion appointment and preliminary hygienist visit two weeks after consultation
Most of our patients will have questions regarding their dental report and the scheduling of treatment and payments. Our patient coordinator will be able to answer any questions you may have and arrange for your dental surgeon to also be present if there are any additional clinical questions.
Each patient journey commences with a visit to our hygienist and therapist Rosanna (Rosie) Hosker-Thornhill. The achievement and maintenance of excellent oral health and home cleaning is the foundation of long-term dental health and all dental work and its long-term success. We have to help you look after your remaining dentition and the work that we are planning to do for you.
A preliminary appointment with Rosie is normally booked for 2 to 3 weeks after your initial consultation. The length of your preliminary appointment with Rosie will therefore be advised at your consultation based on your level of gum problems and will cover the following:
• Full six-point periodontal (gum) charting to detail areas of gum health or disease, your level of home cleaning, the presence of bleeding or infected gums.
• A dietary analysis where appropriate if you have presented with tooth decay
• Explanation of the critical role of the hygienist on your future dental care with advice and instruction on prevention of future disease
• Initial cleaning though a more comprehensive and detailed cleaning visit may be required afterwards depending on your level of gum disease. If your gum disease is severe, Rosie will refer you on to our specialist periodontist after initial therapy
8. Treatment agreement, signing of consent form and payment
Once you have agreed to your treatment proposal, we will require you to sign the consent form attached to your correspondence after having read LCIAD’s terms and conditions which will be included in your correspondence.
If you are unable to proceed with the full recommended plan of treatment due to time or financial constraints, please allow us to advise you on the best alternatives to suit your time and budget. As long as we agree on strategy there is always a way to resolve your problems.
Our patient coordinator will then collect payment or arrange finance as appropriate for the first phase of your treatment. More details on your payment choices and practice fees can be found here (link to fees and payment choices page).
9. Completion of treatment and commencement of hygiene maintenance programme
Your treatment will commence and should be completed as indicated on your Preliminary or Full Dental Report. All of your treatment will be documented photographically, and you are welcome to copies of all of your photographs at the end of treatment upon request.
Once your treatment has been completed, you will undergo a final complimentary review appointment from where your future guarantees will commence as per LCIAD’s Terms and Conditions.
We will normally recommend regular hygiene appointments to ensure that all of the work you had carried out is looked after to the highest possible standards both by us and by you at home. Usually we will recommend a three-monthly hygiene visits, but this may be extended if your oral hygiene is consistently of a high standard and you have a low decay risk. Conversely, if you are susceptible to gum disease or tooth decay then we may advise that your hygiene visits are more frequent. Our recommended hygiene interval will form the foundation of our guarantees as outlined in our terms and conditions.