Fixed Prosthodontics referral

Fixed Prosthodontics referral

Irene Kaimakamis
Principal Dentist, Speciality Dentist King’s College Dental Hospital
BDS (Lond) MJDF RCS (Eng) MSc
GDC: 104215

Irene graduated from Guy’s, King’s and St Thomas’ Dental Institute, with Bachelor of Dental Surgery, in 2006, and was subsequently awarded her Membership with the Royal College of Surgeons (MJDF RCS), in 2007.

Since then she has continued with her postgraduate education, acquiring her Certificate in Cosmetic Dentistry and Aesthetic Restorative Dentistry, in 2009. In 2010, she was accepted at the world renowned Eastman Dental Institute to train for a Masters of Science Degree in the field of Conservative Dentistry, for which she was awarded the 3M prize for clinical and academic excellence. This training offered her experience to more complex treatments in crown and bridgework, veneers, implants and full mouth rehabilitations…

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Fixed Prosthodontics includes multiple treatment modalities such as:

Crowns, Bridges & Veneers
Treatment of Tooth Surface Loss

Referring a patient

You can make a referral in 3 ways:

1) Via Email:

– Click here to download our Referral Form

– Fill out all the required fields marked (*)

– Attach the Referral Form with any supporting xrays/images/charts and send to

2) Via Post:

– Click here to download our Referral Form

– Fill out all the required fields marked (*)

– Please send your Referral Form with any supporting xrays/images/charts to: 116 Great Portland Street, London, W1W 6PJ

3) Online Form: (compatible only with computer users)

– Please fill out the form below and click on send ensuring that you have filled out all

the required fields marked with (*)

Please tick the appropriate referral: *

Dr Cesar Muñoz-Villena
Practice Limited to Endodontics
DDS MSc (Endodontics)
GDC: 208309

Dr Dimitra Emmanouella Tsarouchi
Specialist in Periodontics
BDS (Lond)
GDC: 103982

Dr Deborah Bomfim
Consultant & Specialist in Restorative Dentistry, Clinical Lecturer in Restorative Dentistry
BDS, MSc (UCL), MJDF RCS (Eng), FDS (Rest Dent) RCS (Eng)

Dr Sara Stephens
Specialist & Consultant Orthodontist
BDS, MJDF RCS (Eng), MClinDent Orth (Distinction), MOrth RCS (Eng), FDS (Orth) RCS (Eng)

Dr Ayse Nazli Spencer
Specialist Oral Surgeon
BDS (Lond) MJDF RCS(Eng)
GCAP M.Oral Surg


Dr Latoni Gilbert
Practice Limited to Oral Surgery
BDS (Hons), MFDS RCSEd, MJDF RCSEng GDC:104120

Dr Irene Kaimakamis
Principal Dentist, Special Interest in Fixed Prosthodontics, Honorary Speciality Dentist King’s College Dental Hospital

Ms Meranda Gomez-Adams
Dental Hygienist Therapist
DipDH DipDT RCS (Eng) BSc (Hons)
GDC: 258289

Patient Details: *

Title: Miss/Mrs/Mr/Dr/Other:



Date of Birth:





Reason for Referral: *

Please give as much detail as possible and include any treatment already carried out:

For Endodontic Referral Only:




Is the Patient in pain?
Final restoration to provided by Dr Munoz?
If yes, would you like:

Enclosures (Please tick):

(Please note that enclosing good quality radiographs will speed up the referral process)

Upload here:

(Maximum upload filesize: 5Mb)

Relevant Medical History: *

Practice Details: *

Referring Practitioner:

Referring Practice:

Practice Address:

Post Code: