What are the referral criteria for patients with periodontitis to a specialist periodontist?

Referral criteria for patients with periodontitis to a specialist periodontist are not explicitly detailed in the provided UK guidelines. However, general principles for referral in dental care suggest that patients with active or complex periodontal disease that cannot be managed effectively in general practice should be referred to a specialist periodontist.

Referral is typically considered when:

• Periodontitis is severe or progressing despite initial treatment and preventive care.
• There is a need for advanced periodontal therapy beyond the scope of general dental practice.
• Patients have systemic conditions or risk factors complicating periodontal management.
• Specialist assessment is required for complex cases, including surgical intervention or multidisciplinary care.

Recall intervals and monitoring of disease activity are important; patients with ongoing disease activity may require closer supervision and specialist input ².

In summary, referral to a specialist periodontist is indicated for patients with periodontitis who demonstrate persistent or severe disease activity, require advanced treatment, or have complicating factors beyond general practice management capabilities ².