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PERIODONTAL COSMETIC. ENHANCEMENT REFERRAL FORM. 1436 Royal York Road, Suite 209, Toronto, Ontario, M9P 3A9. Tel: (416) 243-5215 Fax: (416) ...
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How to fill out periodontal cosmetic enhancement referral

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How to fill out a periodontal cosmetic enhancement referral:

01
Start by gathering all the necessary patient information, including their full name, contact details, and date of birth.
02
Next, indicate the reason for the referral, which in this case is for periodontal cosmetic enhancement. Specify if the patient requires any specific procedures or treatments.
03
Provide any pertinent medical history, including previous dental surgeries, allergies, and any current medications the patient is taking.
04
Include detailed information about the patient's oral health status. This may include their current periodontal condition, any existing restorations, and any other relevant dental concerns.
05
Specify the desired outcome or expectations from the periodontal cosmetic enhancement referral. This could include improving the appearance of the patient's smile, correcting gum recession, or enhancing the overall aesthetics of the teeth and gums.
06
If applicable, mention any specific references or referrals to other specialists or dental professionals involved in the patient's treatment plan.

Who needs a periodontal cosmetic enhancement referral:

01
Patients who wish to improve the appearance of their teeth and gums may require a periodontal cosmetic enhancement referral. This could be individuals who are unhappy with their smile, have receding gums, or have other aesthetic concerns.
02
Patients who have been diagnosed with periodontal disease and require cosmetic procedures to restore the health and appearance of their gums may also need a referral.
03
Individuals who are interested in procedures such as gum contouring, dental implants, crown lengthening, or gum grafting to improve their smile may be candidates for a periodontal cosmetic enhancement referral.
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Periodontal cosmetic enhancement referral is a form or request made by a dentist to refer a patient for cosmetic procedures to improve the appearance of their gums and teeth.
Dentists or periodontists who identify a need for cosmetic enhancement procedures for their patients are required to file the referral.
The referral form typically includes patient information, reason for referral, recommended procedures, and any other relevant details to assist the cosmetic specialist.
The purpose of the referral is to connect patients with cosmetic specialists who can provide treatments to enhance the appearance of their gums and teeth.
Patient details, reason for referral, recommended procedures, and any additional notes or instructions for the cosmetic specialist.
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