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  If you have a case that you need the Advisory Dental Panel to assist with please contact: EAP@BIORD.co.uk

  • 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 single-handed practitioner.  BIORD’s Advisory Dental Panel, which consists of multi-disciplinary group of clinicians of long standing experience in different fields of dentistry, has been set up to provide advice, support, mentorship and assistance to its members in treatment planning, problem solving and management strategies for a diverse group of such patients who present with complex and challenging circumstances, problems, or less than satisfactory treatment outcomes. 

    • Objective and Mission Statement:

      The ADP consists of a multidisciplinary body of clinicians with the specific objective of diagnosing and suggesting different treatment strategies for managing challenging or complex cases . 

      These cases, for example, may include patients who have atypical facial pain, TMD and myofacial syndromes, and neuropathic pain secondary to dental interventions, patients who present with challenging anatomical, aesthetic and functional requirements, medically compromised patients or those that do not conform or respond to traditional treatment modalities.

      The aims of the ADP are:

      ·     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 peer reference for the profession when deemed necessary

      ·     To assist less experienced clinicians in managing challenging cases and complications.

      ·     To provide independent expert opinion or advice to third party groups.


    • Membership:

      The member must be a BIORD Senior Fellow unless approved by the BIORD board.

      Ideally the panel should consist of:

      Dental Implant Expert

      Oral Surgeon

      Oral Medicine Consultant

      Maxillofacial Consultant 

      ENT Consultant

      Dental Restorative Consultant 

      Pain Consultant 

      Psychologist

      Consultant Radiologist 

      Radiographer 

      Hygienist & Therapist

      Dental Technician

      NSFA expert

      Additional Members may be co-opted depending on the case selection.


      What ADP Does:

      ·     Use appropriate investigations to diagnose and formulate a treatment strategy.

      ·     Examine the patient jointly with the referring practitioner if necessary

      ·     Advise the referring clinician/3rdparty organisation to carry out the recommended treatment strategy, or (if beyond their competence or scope of practice) recommend a clinician that can undertake the work.

      ·     Review the patient’s final treatment outcome if requested to do so 

      ·     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 ADP Does Not Do:

          Directly treat patients.


    • Referral Mechanisms:

      All referrals are triaged prior to being accepted to the ADP.

      ·     Self Referral.

      ·     Referred from a clinician.

      ·     Referred from a third party for an opinion.

    Costs:

    For advice based on the notes of a case:

    BIORD member                     £FOC

    Non BIORD member            £250


    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 3rdparty 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 ADP will meet 4 times a year, unless an urgent case demands.


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BIORD 24 Furness Quay, Salford Quays, Manchester M50 3XZ  Tel: 0161 413 8330     Email: Admin@BIORD.co.uk

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