HYBRID EVENT: You can participate in person at Madrid, Spain or Virtually from your home or work.

9th Edition of International Conference on Dentistry
and Oral Health

September 02-04, 2024 | Madrid, Spain

September 02-04, 2024 | Madrid, Spain
ICDO 2022

John Watt

John Watt, Speaker at Dental Conferences
Musgrove Park Hospital, United Kingdom
Title: Primary care orthodontic referrals to hospital services and their usage of orthodontic indices


Objective: To assess the quality, accuracy and suitability of dental referrals to secondary care orthodontic departments at Musgrove Park & Yeovil Hospital.
Methods: Data was collected from 119 patients who were referred within a 3-month period to these hospitals orthodontic departments. Data was collected using patient medical records and analysed. 
Results: In total, 36/119 (30.25%) of referrals during this timeframe were rejected. The majority (80.65%) came from general dental surgeons, but rejections did come from specialist orthodontists in a primary setting (13.89%) as well as in orthodontists in hospital and dental access centres (2.78% each). The reasons for rejection included ‘suitability for specialist practice’ (58.33%), ‘too early for referral’ (16.67%), ‘not enough information’ (16.67%), ‘wrong specialism’ (2.78%) and ‘geographic reasons’ (2.78%). From the rejected referrals, 28.13% of the IOTN scores recorded were found to be incorrect. With the majority (88.88%) being from general dentists.
Conclusion: IOTN is not always used correctly, and many dentists may struggle to understand the difference between hospital and primary care orthodontic treatment. Further training and support should be given to local primary care dentists to correctly use IOTN and where to appropriately refer orthodontic cases.


John qualified as a dental surgeon in England from the University of Central Lancashire (UCLAN), he has also been awarded a Biological & Medicinal Chemistry degree with honors from the University of Exeter. After graduating he has continued with his education and training which has recently resulted to being awarded membership to the Royal College of Surgeons in England. John currently resides in Somerset, where he works as a senior house officer in oral & maxillofacial surgery at a general district hospital. He has a keen interest in interdisciplinary links between specialties of dentistry; particularly oral surgery and orthodontics, including the management of these patients and how quality of patient care can be improved.