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Patient Referrals

You may submit your referrals by:

If we have any questions or need additional information, we'll contact your office and let you know! Don't hesitate to call us if there's anything you need.

PHONE  (844) 77-PERIO (844-777-3746)

info@ponsfordperio.com

Dentist Referral Form

Available Procedures:

Implant Placement

All-on-X (full mouth implant therapy)

Extraction and ridge preservation

IV Conscious Sedation, Oral Conscious Sedation, Nitrous Oxide Sedation

Vertical and Horizontal Ridge Augmentation

Sinus Lifts:  Lateral Window and Indirect Vertical Sinus Lifts

Peri-implantitis and Implant Failure Treatment

Periodontal Surgery:  Bone regeneration and pocket reduction

Minimally Invasive Surgery:  Atraumatic treatment of isolated pockets

Laser Periodontal Therapy:  Laser Assisted Periodontal Regeneration

Crown Lengthening  (for esthetics or for clearance for crown preparation)

Soft Tissue Augmentation and Root Coverage (using either autogenous palatal tissue or acellular dermal matrix)

Tunneling:  Minimally invasive soft tissue augmentation by creating a pouch in the gums for placement of a soft tissue graft

Pinpoint incisions:  Small holes can be placed up high in the mucosa to aid in soft tissue advancement with minimal trauma

Surgically Assisted Osteogenic Orthodontics:  Accelerated orthodontic treatment by making bone perforations between the roots and placing bone graft for the movement of teeth into sites with insufficient bone

Frenectomies

Oral Medicine:  Biopsy and treatment of rare oral pathology conditions

Occlusal Therapy

Nightguards

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