Information Pack Over fifty years and thousands of smiles.

Transcription

1 Fifty years and thousands of smiles. Information Pack Over fifty years and thousands of smiles. Paul Coulthard BChD. MFGDP(UK) RCS Andrew Greenwood BDS.DGDP(UK)RCS.Dip.Imp.Dent.RCS(Eng).FFGDP(UK) David Row BDS.DGDP(UK) RCS James Bough BDS

2 Your First Visit The Reception Staff will take your details to enter onto the practice computer system. They will then ask you to complete a Confidential Medical History form. This is to provide us with information which may be relevant to your Dental treatment. It is not normally necessary for us to have access to your previous dental records so please don t worry about them. You will then be shown to the Reception lounge where you may relax in very comfortable surroundings. A member of Staff will collect you and take you to your new Dentist. At the first visit we feel it is more important to get to know you and establish a good relationship therefore unless there is any emergency treatment necessary we confine our first visit to a discussion of your Dental needs (if any), the taking of a history and a thorough Dental examination together with any necessary x-rays. After that you can relax! our team Your health and comfort are our primary concerns. Please let us know of any condition requiring special attention of any changes in your health during treatment. If any problem should arise, at any time, please inform the Dentist, Practice Manager, or an appropriate staff member so we may have the opportunity to resolve the matter. Welcome to The Partner will then discuss with you any treatment options identified during the examination and, if necessary, an appointment will be made. At the following consultation appointment we will explain our findings and recommendations with you. By explaining the options fully, we enable you to make an informed decision about the procedure which is right for you. You will be given a written report and treatment plan, including an estimate of costs. After your treatment is complete we will agree together how often your routine examination and hygienist appointment will be. For most patients this will be every six months. We can make your check-up appointment at your last visit or our fully integrated computer system will generate a recall to be sent to you through the post, or text messaging!

3 Our patients can expect from us: A high degree of professional skill and ability. A comprehensive examination, diagnosis and explanation of our findings. The development of treatment alternatives and an explanation of the costs and benefits of each so each patient can make an informed decision in selecting treatment that is most appropriate to his or her individual needs, means, and desires. Integrity to perform all services to the best of our knowledge and ability. That we studiously keep abreast of progress in dental sciences and follow current best practice. In return we expect from our patients the following: Your cooperation in making and keeping appointments. Should it be necessary to change an appointment, we require at least 24 hours notice. We do make a nominal charge for missed appointments, but it is never our wish to do so. Your health and comfort are our primary concerns. Please let us know of any condition requiring special attention or any changes in your health during treatment. If any problem should arise, at any time, please inform the Dentist, Practice Manager, or an appropriate staff member so we may have the opportunity to resolve the matter. Our financial policies are as follows: Treatment plans are presented to all patients before any work begins. We will explain the procedures involved so that you fully understand the proposed treatment plan. The costs and the time required to perform the services is also discussed. If at any time it is necessary to change the treatment plan and additional charges or credits are applicable, this is explained to the patient and agreed to before treatment continued. A complete dental service: A feature of Kelvin Lodge Dental practice is our in-house state of the art dental laboratory which allows our dentists and our skilled dental technicians to provide the upmost in precision dentistry and personal aesthetic dental services. Our commitment is to provide a comprehensive dental service utilizing the best methods, materials and service available to achieve the finest results and best value for our patients. When indicated we call upon other dental specialists to perform procedures to maximize the benefits of treatment. As individuals we are having to make more and more provision for our own health needs. The Kelvin Lodge Dental Practice believes that the best way of making treatment affordable, without compromising our high quality of care, is to offer you membership of our own Practice Plan which provides the following benefits: A convenient payment scheme for routine treatment. Substantial discounts off additional treatments and oral healthcare products. Greater choice of treatment and materials (including white fillings and cosmetic dentistry). More time to spend with each patient to help prevent decay. World-wide Trauma and Emergency Call-Out Insurance. Extended payment scheme available. Redundancy cover for the Plan. Do you know anyone in need of a confident smile?

4 Fee List Dental Care Plan Regular dental appointments(two per year) to provide: clinical examination screening for oral cancer X-rays where clinically necessary Maintenance Plan We also offer a service where members are entitled to two dental appointments and four hygienist appointments per year. Regular Hygienist appointments(two per year) to provide: Scale & Polish Periodontal advice Instruction in preventive techniques to reduce decay and gum disease Assessment of emergencies and dental pain with any temporary treatment required, carried out at the practice during normal surgery hours. Dispensing of emergency antibiotics. All treatment planning for your future dental needs. Production of study models when required. All subsequent remedial work within 12 months of recommended restorative work. 20% reduction off any laboratory based treatments required, ie, crowns, bridges and dentures. 20% reduction off any fillings. 20% reduction off other dental work (extractions, etc) 20% reduction off any additional hygiene work. 10% reduction off oral hygiene products purchased at the surgery. Worldwide trauma insurance to protect against unforeseen accidental damage. Emergency call-out insurance, should you need a dentist in an emergency, anywhere in the world. Full details of the fees for this service are available upon request. Annual Plan As for the Dental Care Plan, but members are entitled to one dental and one hygienist visit per year. Patients must have approval from your dentist prior to acceptance on this scheme. Full details of the fees for this service are available upon request. Financial Policies Our patients understand that in order to deliver optimum dentistry, we must maintain our office on sound business principles. Therefore, we inform our patients of our financial policies at the very beginning of our relationship to avoid any misunderstandings. We accept major credit cards, cash and personal cheques. Payment for the examination appointment is due at the time the services are rendered. Extended payment plans are available for qualified individuals for subsequent treatment. Our financial policies are as follows. Treatment plans are presented to all patients before any work begins. We consult with our patients so that the various options for treatment and the likely costs are discussed and agreed prior to commencement. If at any time it is necessary to change the treatment plan and additional charges or credits are applicable, this is explained to the patient and agreed to before treatment continued. Full details of the fees for this service are available upon request.

5 Fee List 2013 (FOC = Free of charge) t. (0191) Paul Coulthard BChD. MFGDP(UK) RCS Andrew Greenwood.BDS.DGDP(UK)RCS.Dip.Imp.Dent.RCS(Eng)FFGDP(UK) David Row BDS.DGDP(UK) RCS James Bough BDS Description Fee Per Item Member Price Saving for Member (20% Discount) Initial Full Consultation 55 N/A N/A Routine Examination 40 FOC 40 Scale & Polish 50 FOC 50 Single X ray 9 FOC 9 Routine X rays 17 FOC 17 Panoral X ray 44 FOC 44 Prescription 11 FOC 11 Registration & Insurance 38 FOC 38 Emergencies in Surgery Hrs 55 FOC 55 Fissure sealing (per tooth) 45 Fillings Amalgam Small Amalgam Medium Amalgam Large White Fillings Small Medium Large Extractions Routine from Surgical/Wisdom from Hygienist Appointments Per 20min Appt Per 30min Appt Per 40min Appt Periochips 25 each Elyzol 35 per tube Dental Bleaching Overnight Home Bleaching 275 per arch In Surgery Power Bleaching 400 per arch Crowns/Bridgework Porcelain Bonded Crown Gold Crown Cast Gold Post All Ceramic Crown Porcelain/Gold Inlay Bridge work per unit from Poreclain Veneer Adhesive Bridgework/unit Cosmetic Dentistry Quotations given after consultation De programmer Dentures Partial Acrylic Upper/lower from Partial Chrome Cobalt from Full/Full Dentures Full upper/lower Denture Anti-snoring Appliance Additions Repairs from 55 depending upon requirements Reline from Root Treatment Single Root from Multi-rooted Premolar Multi-rooted Molar from Apicectomy from Mouth Guards (inc. case) Clear 48 Coloured 54 Striped 62

6 Partner Profiles Dr Paul Coulthard BChD, MFGDP(UK) RCS GDC No Paul has returned to his home town after qualifying in 1982 from Leeds University. Paul gained top marks in the final examinations, being awarded the Watssman Prize for Clinical Dental Practice. Paul joined Kelvin Lodge in 1987 as an Associate, replacing the founding member, Mr Raymond Stubley, on his retirement. He became a Partner in Paul completed the Diploma of Membership of the Faculty of General Dental Practitioners of the Royal College of Surgeons in 2003 and is a member of the British Dental Association. Paul has recently completed a one year Restorative Dentistry course held in Manchester and also two courses in 2006, and 2008 in advanced cosmetic dentistry. He is a full member of the British Academy of Cosmetic Dentistry. Paul is married to Sally, a research scientist, and they have two boys, Nicholas and Richard. Outside work, Paul s main interest is golf, being an ex-county player and club champion. Paul also enjoys keeping fit at the gym and skiing. Dr Andrew R.Greenwood BDS.DGDP(UK)RCS.Dip.Imp.Dent.RCS(Eng).FFGDP(UK) GDC No Originally from Halifax in West Yorkshire, Andrew qualified in 1986 from Newcastle University. After working as an Associate, he started a single-handed practice in 1993, seeking a new way to practice modern preventative dentistry. Whilst running his own Practice in Gateshead, Andrew provided Orthodontic treatment at Kelvin Lodge until he became a Partner when Mr Gordon Jennings retired in In 1995, he successfully completed the Diploma in General Dental Practice from the Royal College of Surgeons and is also a member of the Association of Dental Implantology and International Team for Implantology. He has been a Clinical Assistant in Orthodontics at Newcastle Dental Hospital and has an active interest in Orthodontics. In 2006, Andrew passed the Diploma in Implant Dentistry from the Royal College of Surgeons and has been invited to return as a tutor on the course. He is currently working towards the Fellowship of the Faculty of General Dental Practitioners, the highest qualification attainable in general dental practice. Andrew is married to Janet, a physiotherapist, and they have a son, James. Outside work his main interests are racing a sports car in the Radical Enduro Series, supporting Medicals Rugby Club and Snowboarding, Windsurfing and Sailing. Dr David Row BDS.DGDP(UK) RCS GDC No David is originally from North Wales. He went to school at Sedbergh in Yorkshire and qualified in 1986 from Newcastle University. After spending a year in London as an Associate, he returned to the North East to work firstly in Killingworth and later in Ashington. David joined Kelvin Lodge in 1994 following the retirement of Mr Michael Atkinson. David enjoys all aspects of general practice and, in 1995, completed the Diploma in General Dental Practice at the Royal College of Surgeons. David is a member of the British Dental Association, the British Society of Periodontology, the Association of Dental Implantology, a member of the North of England Dental Implant Group and has been using implants in restorative dentistry since David s interests include playing golf, skiing, supporting Medicals and Newcastle Falcons Rugby Clubs and Newcastle United. David is married to Georgina, a hygienist who has also worked at Kelvin Lodge. They have a son, Sam, and a daughter, Elizabeth. Dr James Bough BDS GDC No James qualified from Newcastle University with Merit in Clinical Dentistry in 2007, having been awarded the John Hopkins prize for his support for fellow colleagues and joined Kelvin Lodge in James has continued to further his skills and knowledge by completing a large number of postgraduate courses including dental implant courses at the Sheffield Implant Centre and Newcastle Dental Hospital, the Core Course in Conscious Sedation at Newcastle Dental Hospital and the Inman Aligner accreditation. He is currently working towards his final examinations for the Diploma in Restorative Dentistry, which provides the skills and knowledge for advanced treatments for the most complex of cases. In addition to dental qualifications, James has also carried out a number of facial aesthetic courses in order to provide treatments such as wrinkle relaxing injections, dermal fillers and Genuine DermarollerTM therapy and is able to give personalised advice and treatment plans for skin therapy. James is a member of the Faculty of General Dental Practice (UK), The Royal College of Surgeons and the International Team for Implantology (ITI). He is an Honorary Clinical Lecturer at the Newcastle Dental Hospital and lectures to dentists on behalf of the Northern Deanery (the Postgraduate Institute for Dentists), a specialist dental laboratory and Ivoclar Vivadent UK. James lives in Tynemouth with his wife Lindsay and enjoys keeping fit and healthy, with many outdoor hobbies, particularly as the beach is on the doorstep! He is passionate about skiing, food and travelling to visit new places.

7 Medical History Patient Name: GP s Name: Have you ever had the following: 1. Do you have any allergies? Please state: 2. Heart problems Please specify: 3. Rheumatic fever 4. High blood pressure 5. Stroke 6. Blood disorders or prolonged bleeding 7. Lung Disease 8. Asthma 9. Sinus problems 10. Kidney disease 11. Liver disease 12. Hormone deficiency, (ie, thyroid) Please specify: 13. Diabetes 14. Digestive disorders Yes No Yes No Yes No Date of Birth: Yes No 15. Arthritis 16. Glaucoma 17. Osteoporosis (taking Bisphosphoniates) 18. Epilepsy, convulsions (seizures) 19. Neurologic problems 20. Cold sores 21. Hay fever 22. Hepatitis (type ) 23. Tumor, abnormal growth Please specify: 24. Radiation therapy 25. Chemotherapy 26. Psychiatric treatment Are You: 27. Presently being treated for any other illness Please specify: 28. Currently a smoker 29. Have you smoked previously 30. Female - Pregnant Describe any current medical treatment, impending surgery or other treatment that may possibly affect your dental treatment. List any medications, supplements including birth control. Drug Purpose Drug Purpose Ask for an additional sheet if you are taking more than six medications PLEASE ADVISE US IN THE FUTURE OF ANY CHANGE IN YOUR MEDICAL HISTORY OR ANY MEDICATIONS YOU MAY BE TAKING. Patient s Signature Date Dentist s Signature Date

8 Changes to Medical History Date: Signature: Amendments Signature Date

9 Dental History How would you rate the condition of your mouth? Excellent Good Fair Poor What is your immediate concern? Please answer yes or no to the following: Yes No Personal History 1. Are you fearful of dental treatment? Scale of 1-10 (very) 2. Have you ever had an unfavourable dental experience? 3. Have you ever had complications from past dental treatment? 4. Have you ever had trouble getting numb or reactions to local anaesthetic? 5. Did you ever have braces, orthodontic treatment or had your bite adjusted? 6. Have you ever had any teeth removed? Smile Characteristics 7. Is there anything about the appearance of your teeth that you would like to change? 8. Have you ever whitened (bleached) your teeth? 9. Are you self conscious about your teeth? 10. Have you ever been disappointed with the appearance of previous dental work? Bite and Jaw Joint 11. Do you / would you have any problems chewing gum? 12. Have you teeth changed in the past five years, becoming shorter, thinner or worn? 13. Are your teeth crowding or developing spaces? 14. Do you have more than one bite or do you clench (squeeze) to make your teeth fit together? 15. Do you have any problems with sleep or wake up with an awareness of your teeth? 16. Do you have any problems with your jaw joint? (pain, sound, limited opening, locking, popping etc) 17. Do you have tension headaches or sore teeth? 18. Do you wear or have you ever worn a bite appliance? Tooth Structure 19. Have you ever had any cavities within the past three years? 20. Do you have a dry mouth? 21. Are any teeth sensitive to hot, cold, biting or sweets? 22. Have you ever had a toothache, cracked filling, broken, chipped or cracked tooth? 23. Do you avoid brushing any part of your mouth? Gum and Bone 24. Have you ever been diagnosed or treated for periodontal (gum) disease? 25. Have you ever experienced gum recession? 26. Is there anyone with a history of periodontal disease in your family? 27. Do your gums bleed when brushing, flossing or eating? 28. Are your teeth becoming loose? 29. Have you ever noticed an unpleasant taste in your mouth? 30. Have you ever experienced a burning sensation in your mouth?

10 Our team of Dental Hygienists are: Fifty years and thousands of smiles. Mrs. Laura Brown CEB Dip. In Dental Hygiene Qualified as a Dental Hygienist from Newcastle University in GDC No Miss. Arlene McRae CEB Dip. In Dental Hygiene Qualified as a Dental Hygienist from Glasgow Dental Hospital & School NHS Trust in GDC No Mrs. Beverly Pattison Cert. of Dental Hygiene Qualified as a Dental Hygienist from Liverpool University in GDC No Miss. Krysy Roczynski CEB Dip. In Dental Hygiene Qualified as a Dental Hygienist from Newcastle University in GDC No Mrs. Georgina Row Cert. of Dental Hygiene Qualified as a Dental Hygienist from Newcastle University in GDC No Mrs Leony Stott CEB Dip. In Dental Hygiene Qualified as a Dental Hygienist from Newcastle University in GDC No Kelvin Lodge Dental Practice opening hours: Day Monday Tuesday Wednesday Thursday Friday Time 8.30am to 5.30pm 8.30am to 5.30pm 8.30am to 5.30pm 8.30am to 5.30pm 8.30am to 5.30pm Directions to Kelvin Lodge To reach us by bus you can take either the number 10 or 11 bus from the Central Station or Pilgrim Street, Newcastle which runs every 20 minutes. You then get off at the second stop on Kenton Road, walk over the road and we are set slightly back on the corner of Elmfield Park and Elmfield Road. Facilities at Kelvin Lodge We have our own dedicated car park for upto 16 cars.we also have full disability access via a ramp into the Practice and we will always try to accommodate patients with a disability in a ground floor surgery. We look forward to seeing you. Opening Hours Monday - Friday 8.30am pm Evening appointments by arrangement Call (0191) IN AN EMERGENCY During surgery hours please contact the Practice on Wherever possible we see all emergencies the same day. Outside surgery hours please telephone between 9.00am and 9.00pm where a Dentist will return your call within three hours. Christmas Day, Boxing Day, New Years Day and additional bank holidays during this period please call NHS direct as the number above is not in operation over this period. Alternatively please call and a voice message will give you relevant details.