Referring Doctors Form
Online Referral Form
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
Referral Recommendations
To help us achieve a more seamless transition of your patients to our office, we recommend the following;
- Our referral form can be filled out online and securely submitted through this website. A PDF form is also available for download if you prefer to fax or mail it to our office.
- Please fill out the form as completely as possible to help us in serving your patients needs.
- We appreciate your information! Please advise us of recent restorative work and any future treatment plans for the teeth we will be evaluating. We want to reinforce the recommendations you have for your patient.
- Please mention any special patient needs such as; patient anxiety, sedation requests, past dental experiences, premedication, allergies, and other medical issues that would help us better treat your patient.
- Sending current x-rays of the teeth to be evaluated are helpful. We can scan x-ray films and import x-ray images that have been e-mailed to our office directly into our digital x-ray system. Our online referral form has a place to attach your radiographs when submitting your online referral.
- The best patient follow-through tends to happen when patients are scheduled while still in your office. To meet your patient needs, we may ask to speak with them directly while they are with you. This helps to provide information to them and help find the best fit for them and their busy schedule.
- We understand that communication is key for seamless patient referrals. Please feel free to phone or email our office to discuss treatment prior to your patients appointment. The more information we have the better we can serve both you and your patient!
Feedback
How Are We Doing?
We are committed to meeting your specific needs. To do this effectively we are open to hearing about any comments and suggestions you may have. Please click on the link below to send us an email with any ideas you have on how we can improve our service to you.
Colleagues for Excellence Newsletter
To view these documents, you will need Adobe Acrobat Reader. Download the latest version of this FREE software.
Endodontic Case Assessment
Advances in the understanding of endodontic pathosis, aseptic technique, and principles of canal preparation and obturation have led to significantly increased and predictable healing rates for endodontic treatment—95% and higher under ideal conditions (Salehrabi R, Rotstein I. J Endod. 2004 Dec;30(12):846-50). However, the treatment must be delivered in a predictable manner by the treating practitioner to optimize the healing potential.
The AAE has developed practical tools to help every dentist overcome case assessment pitfalls:
- Endodontic Case Difficulty Assessment Article (PDF File, 587KB)
This newsletter discusses endodontic treatment planning, case assessment and referral from a specialist’s perspective. - Reading List (PDF File, 48KB)
A comprehensive list of references supporting the topic of case assessment and referral. - AAE Case Difficulty Assessment Form and Guidelines (PDF File, 411KB)
The Assessment Form enables a practitioner to assign levels of difficulty to a particular case by assessing risk factors that may affect the outcome of treatment. The form may also be used to assist with referral decision making and record keeping. - Educator’s Guide to Using the AAE Endodontic Case Difficulty Assessment Form (PDF File, 44KB)
This guide is designed to assist educators in teaching predoctoral dental students objective evaluation and decision-making skills in endodontics. - Forging Effective Alliances for Quality Patient Care (PDF File, 127KB)
This article discusses the value of effective referral relationships.
Treatment Planning Options
Tough cases don’t have to mean extracted teeth—many endodontic treatments can save the natural tooth for a lifetime! The AAE Treatment Options for the Compromised Tooth: A Decision Guide helps you evaluate a variety of conditions using:
- Case examples with radiographs and clinical photographs
- Clinical considerations
- Guidance for successful outcomes based on prognosis
General dentists who have used the Guide find that it is a good reference. “The Treatment Options Guide is great because it includes so many examples of successful endodontics and healing teeth,” said Mark Mensh, D.M.D., Mays Landing, N.J. “It’s a good reminder of how to work with my endodontist to save patients’ natural teeth whenever possible, and it makes it easier to explain some of the more difficult cases to my patients.”
Use the Guide to assess all possible endodontic treatment options before recommending extraction of the natural tooth, and consult with your endodontist partner to develop treatment plans that could save the natural dentition. Endodontists and dentists are partners in delivering optimal dental patient care.
Download the NEW edition of Treatment Options for the Compromised Tooth: A Decision Guide (PDF File, 3 MB)
Links of Interest
This page contains hyperlinks to websites that are created and maintained by other organizations and are listed here as a resource for our referring doctors. Northshore Endodontics does not necessarily endorse the views expressed or guarantee the accuracy any information presented on these sites.
- Endodontic Articles & Treatment Guidelines
- Professional Associations
- Reference Links
- General Interest
Endodontic Articles & Treatment Guidelines
Traumatic Dental Injury Treatment Guidelines
Bisphosphonate Osteonecrosis: Endodontic Implications
Endodontic Case Difficulty Assessment Form & Guidelines
The Microscope And Conservative Endodontic Access
The Operating Microscope in Endodontic Therapy: Khayat, B.G.
Endodontic Therapy: Ovoid Canal Systems
Microscopic Dentistry
Professional Associations
Academy of Microscope Enhanced Dentistry
American Academy of Restorative Dentistry
American Association of Endodontists – national organization representing the specialty of endodontics or root canal treatment.
American Academy of Periodontology – mission is to advance the periodontal health of the public and represent and serve the members of the academy.
American Association of Oral & Maxillofacial Surgeons – find information about oral and maxillofacial surgery including cancer, dental implants, sports safety, jaw surgery, and more.
American Dental Association – ADA Online – access to news, publications, and products and services related to dental health.
American Medical Association – another useful site with links to consumer health information, vast AIDS information center, searchable database of more than 650,000 physicians
American Society for Dental Aesthetics
International Association of Dental Research
International Association for Disability and Oral Health – general informational brochure and quarterly newsletter information.
International Association of Dento-Maxillo-Facial Radiology
National Association of Dental Plans – NADP representative and recognized resource of the dental HMO/PPO industry with news, meetings, statistics and other resources.
Oral Cancer Information Center – US based web-site
Reference Links
Cambridge University Medical Library
The International Journal of Microdentistry
Healio – Physician maintained commercial database of annotated health links. Oriented toward medical professionals, but accessible to an educated lay person. A keyword search gets you to a subject index, from which you navigate to the links you want.
MedicineNet – Content-rich commercial site includes interactive groups, ask-the-doctor feature, medical dictionary, comprehensive drug information, medical news, disease-specific information, and links.
New England Journal of Medicine
Medscape – Searchable commercial collection of full-text articles from such useful sources as the National Institutes of Health and the Centers for Disease Control and Prevention.
Oncolink – Huge collection of cancer information and links based at the University of Pennsylvania. The best starting place found for cancer information.
Quintessence Publishing – publishers of professional dental journals, books and multimedia materials.
WebDental – American based dental database
General Interest
Online Referral Form
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
Referral Recommendations
To help us achieve a more seamless transition of your patients to our office, we recommend the following;
- Our referral form can be filled out online and securely submitted through this website. A PDF form is also available for download if you prefer to fax or mail it to our office.
- Please fill out the form as completely as possible to help us in serving your patients needs.
- We appreciate your information! Please advise us of recent restorative work and any future treatment plans for the teeth we will be evaluating. We want to reinforce the recommendations you have for your patient.
- Please mention any special patient needs such as; patient anxiety, sedation requests, past dental experiences, premedication, allergies, and other medical issues that would help us better treat your patient.
- Sending current x-rays of the teeth to be evaluated are helpful. We can scan x-ray films and import x-ray images that have been e-mailed to our office directly into our digital x-ray system. Our online referral form has a place to attach your radiographs when submitting your online referral.
- The best patient follow-through tends to happen when patients are scheduled while still in your office. To meet your patient needs, we may ask to speak with them directly while they are with you. This helps to provide information to them and help find the best fit for them and their busy schedule.
- We understand that communication is key for seamless patient referrals. Please feel free to phone or email our office to discuss treatment prior to your patients appointment. The more information we have the better we can serve both you and your patient!
Feedback
How Are We Doing?
We are committed to meeting your specific needs. To do this effectively we are open to hearing about any comments and suggestions you may have. Please click on the link below to send us an email with any ideas you have on how we can improve our service to you.
Colleagues for Excellence Newsletter
To view these documents, you will need Adobe Acrobat Reader. Download the latest version of this FREE software.
Endodontic Case Assessment
Advances in the understanding of endodontic pathosis, aseptic technique, and principles of canal preparation and obturation have led to significantly increased and predictable healing rates for endodontic treatment—95% and higher under ideal conditions (Salehrabi R, Rotstein I. J Endod. 2004 Dec;30(12):846-50). However, the treatment must be delivered in a predictable manner by the treating practitioner to optimize the healing potential.
The AAE has developed practical tools to help every dentist overcome case assessment pitfalls:
- Endodontic Case Difficulty Assessment Article (PDF File, 587KB)
This newsletter discusses endodontic treatment planning, case assessment and referral from a specialist’s perspective. - Reading List (PDF File, 48KB)
A comprehensive list of references supporting the topic of case assessment and referral. - AAE Case Difficulty Assessment Form and Guidelines (PDF File, 411KB)
The Assessment Form enables a practitioner to assign levels of difficulty to a particular case by assessing risk factors that may affect the outcome of treatment. The form may also be used to assist with referral decision making and record keeping. - Educator’s Guide to Using the AAE Endodontic Case Difficulty Assessment Form (PDF File, 44KB)
This guide is designed to assist educators in teaching predoctoral dental students objective evaluation and decision-making skills in endodontics. - Forging Effective Alliances for Quality Patient Care (PDF File, 127KB)
This article discusses the value of effective referral relationships.
Treatment Planning Options
Tough cases don’t have to mean extracted teeth—many endodontic treatments can save the natural tooth for a lifetime! The AAE Treatment Options for the Compromised Tooth: A Decision Guide helps you evaluate a variety of conditions using:
- Case examples with radiographs and clinical photographs
- Clinical considerations
- Guidance for successful outcomes based on prognosis
General dentists who have used the Guide find that it is a good reference. “The Treatment Options Guide is great because it includes so many examples of successful endodontics and healing teeth,” said Mark Mensh, D.M.D., Mays Landing, N.J. “It’s a good reminder of how to work with my endodontist to save patients’ natural teeth whenever possible, and it makes it easier to explain some of the more difficult cases to my patients.”
Use the Guide to assess all possible endodontic treatment options before recommending extraction of the natural tooth, and consult with your endodontist partner to develop treatment plans that could save the natural dentition. Endodontists and dentists are partners in delivering optimal dental patient care.
Download the NEW edition of Treatment Options for the Compromised Tooth: A Decision Guide (PDF File, 3 MB)
Links of Interest
This page contains hyperlinks to websites that are created and maintained by other organizations and are listed here as a resource for our referring doctors. Northshore Endodontics does not necessarily endorse the views expressed or guarantee the accuracy any information presented on these sites.
- Endodontic Articles & Treatment Guidelines
- Professional Associations
- Reference Links
- General Interest
Endodontic Articles & Treatment Guidelines
Traumatic Dental Injury Treatment Guidelines
Bisphosphonate Osteonecrosis: Endodontic Implications
Endodontic Case Difficulty Assessment Form & Guidelines
The Microscope And Conservative Endodontic Access
The Operating Microscope in Endodontic Therapy: Khayat, B.G.
Endodontic Therapy: Ovoid Canal Systems
Microscopic Dentistry
Professional Associations
Academy of Microscope Enhanced Dentistry
American Academy of Restorative Dentistry
American Association of Endodontists – national organization representing the specialty of endodontics or root canal treatment.
American Academy of Periodontology – mission is to advance the periodontal health of the public and represent and serve the members of the academy.
American Association of Oral & Maxillofacial Surgeons – find information about oral and maxillofacial surgery including cancer, dental implants, sports safety, jaw surgery, and more.
American Dental Association – ADA Online – access to news, publications, and products and services related to dental health.
American Medical Association – another useful site with links to consumer health information, vast AIDS information center, searchable database of more than 650,000 physicians
American Society for Dental Aesthetics
International Association of Dental Research
International Association for Disability and Oral Health – general informational brochure and quarterly newsletter information.
International Association of Dento-Maxillo-Facial Radiology
National Association of Dental Plans – NADP representative and recognized resource of the dental HMO/PPO industry with news, meetings, statistics and other resources.
Oral Cancer Information Center – US based web-site
Reference Links
Cambridge University Medical Library
The International Journal of Microdentistry
Healio – Physician maintained commercial database of annotated health links. Oriented toward medical professionals, but accessible to an educated lay person. A keyword search gets you to a subject index, from which you navigate to the links you want.
MedicineNet – Content-rich commercial site includes interactive groups, ask-the-doctor feature, medical dictionary, comprehensive drug information, medical news, disease-specific information, and links.
New England Journal of Medicine
Medscape – Searchable commercial collection of full-text articles from such useful sources as the National Institutes of Health and the Centers for Disease Control and Prevention.
Oncolink – Huge collection of cancer information and links based at the University of Pennsylvania. The best starting place found for cancer information.
Quintessence Publishing – publishers of professional dental journals, books and multimedia materials.
WebDental – American based dental database
