There are occasions when an orthodontic referral may not be appropriate. Find out more here

  • It is not appropriate to refer patients when they are too young in order to circumvent waiting lists. The majority of orthodontic treatment can commence in the late mixed and early permanent dentition. For advice on when an earlier referral might be appropriate see here.
  • Do not refer the patient if they do not want orthodontic treatment or would not wear a brace.
  • Do not refer patients with poor oral hygiene, active caries or periodontal disease (unless advice is needed for extractions only).
  • If the patient is still sucking their thumb/finger most orthodontists will not start active orthodontic treatment. Please try to encourage your patient to stop their sucking habit before they are referred for orthodontic treatment. Deterrent appliances are usually only used in older patients resistant to more conventional techniques, such as persuasion, a plaster on the offending digit or unpleasant tasting varnishes.
  • Patients over 18 will usually only be accepted for NHS funded orthodontic treatment if they have a complex occlusal and skeletal problem requiring multidisciplinary care, and such cases should be referred to the Hospital Orthodontic Service.