How to refer - Oral medicine  

Referral contact address:

Eastman Central Registry for Referrals (ECRA)

Royal National ENT and Eastman Dental Hospitals
250 Euston Road

Telephone: 020 3456 2300
Fax: 020 3456 1105

Referral can be made using ‘NHS e-Referral Service (formally Choose and Book referrals) ’.  All patients referred using this method are expected to be registered with a dental practitioner

Urgent referrals should be clearly marked and are given precedence.  The Department offers a one stop service where diagnosis and immediate intervention where appropriate is undertaken at the same visit.

Waiting Time for Consultation:  Routine referrals - 4 weeks

Criteria for Acceptance of Treatment:

  • Dry mouth secondary to iatrogenic, connective tissue or infectious salivary gland disease.
  • Trigeminal neuropathy.
  • Oral mucosal disease arising from probable immunological aetiology, including lichen planus, pemphigus vulgaris, pemiphigus vegetans, mucous membrane pemphigoid, erythema multiforme and recurrent aphthous stomatitis.
  • Oral manifestations of gastrointestinal diseases including Crohn’s disease, ulcerative colitis and coeliac disease.
  • Persistent oral mucosal ulcer (likely malignancy)
  • Oral mucosal white and red patches, i.e.  potentially malignant lesions of the oral mucosa.
  • Orofacial swelling including angiodema, oro facial granulomatosis, sarcoidosis
  • Oro facial infections including bacteria, viruses and fungi
  • Oral malodour
  • Oral mucosal soft tissue swellings
  • Oral manifestations of adverse reactions to drugs or dental materials
  • Malignant neoplasms of the orofacial region
  • Oro facial manifestations of systemic disease

Patients with orofacial pain must be referred to the ‘Pain Service’; Patients with caries and periodontal disease must be referred to the Division of Restorative Sciences providing their criteria for referral are met.


Access to patient results

Results of investigations will be included within patient letters.