With increasingly complex and invasive dental treatment there has been an increase in patients presenting with complaints arising from either complications secondary to dental treatment or failure of the treatment outcomes to meet their high expectations functionally and or aesthetically. These range from functional problems with fixed or removable prostheses to TMJ- myofascial pain syndromes , iatrogenic nerve damage and neuropathic pain. The management of these wide variety of cases is often outside the experience of scope of a busy general dental practitioner who tend to refer these individuals to local OMFS departments where the advice and management they receive could be variable. We aspire to set up a panel of experts who can initially review , examine and suggest management strategies for a diverse group of such patients who present with challenging symptoms , problems, complications and complaint

To improve the quality of life of the patients that are referred by way of developing a multidisciplinary diagnosis and remedial treatment strategies for the management of their problems

To offer a point of reference for the profession when there are no other options

To educate the profession in managing challenging cases and complications

Improvement and enhancement of clinical standards & skills through education and training

To provide independent expert advice to third party groups

Examine the patient, and use appropriate investigations to diagnose and formulate a a treatment strategy.

Advise the referring clinician/3rd party organisation to carry out this strategy, or (if beyond their competence or scope of practice) recommend a clinician that can undertake the work

Review the patient at appropriate intervals to ensure the strategy is effective, and if necessary suggest modifications to the treatment

Publish annually a publication of every case. This is to ensure we learn from these patients

Act as a clinical advisory and arbitration panel to help to resolve disputes between patients and their dentists arising from failure of treatment outcomes to meet patient expectations

What EDP does not do

 Directly treat Patients

 All referrals are triaged prior to being accepted to the EDP

Costs For advice based on the notes of a case:

 BIORD member £FOC

 Non BIORD member £250

Costs For patient assessment and diagnostic services:

 BIORD member – £150 per hour of clinical time, from £75 per hour of non-clinical time.

 Non BIORD member – £350 per hour of clinical time, from £250 per hour of non-clinical time.

 For 3rd party assessment, condition and liability reports, and condition and prognosis report:

 BIORD member – £150 per hour of clinical time, from £75 per hour of non-clinical time

 Non BIORD member – £350 per hour of clinical time, from £250 per hour of non-clinical time

 Diagnostic investigations are charged separately depending on need.

Process And Frequency

 The EDP will meet 4 times a year, unless an urgent case demands.

Process

 Triage – History and Initial Exam

 Email EDP and decide on diagnostic tests.

 Diagnostics and Determination of the need – who is to be present at the consultation.

 Report

 Review