Periodontics Referral

Periodontics referral

Dimitra-Tsarouchi
Dimitra E.Tsarouchi
Specialist in Periodontics
BDS(Lond) MFDS RCS (Ed)
MClinDent (UCL) CertPerio (EFP)
MRD RCS (Eng)
GDC: 103982

Dimitra graduated in 2006 from Guy’s, King’s and St Thomas’ Dental Institute with a Bachelor of Dental Surgery and was awarded her Membership with the Royal College of Surgeons of Edinburgh in 2008. She subsequently worked as a Senior House Officer in Oral & Maxillofacial Surgery at Guy’s, King’s and St Thomas’ Hospitals, the Royal Surrey County Hospital in Sussex and in private practice in Kent as well as in Athens, Greece.

In 2012, she was accepted at the world-renowned UCL’s Eastman Dental Institute where she completed her specialty training in Periodontology and was awarded her Membership in Restorative Dentistry in November 2015. The EDI program is one of the eleven periodontology courses recognised in Europe and the only training in the UK accredited by the European Federation of Periodontology (EFP).

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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 info@kdentalstudios.co.uk

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)
GDC:103979

Dr Sara Stephens
Specialist & Consultant Orthodontist
BDS, MJDF RCS (Eng), MClinDent Orth (Distinction), MOrth RCS (Eng), FDS (Orth) RCS (Eng)
GDC:103298


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

GDC:104084

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
BDS, MJDF RCS (Eng),MSc (UCL)
GDC:104215

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

Patient Details: *

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

Surname:

Forename(s):

Date of Birth:

Address:

Postcode:

Tel/Mobile:

Email:

Reason for Referral: *

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

For Endodontic Referral Only:

Right
Left

8765432112345678


8765432112345678

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:

Telephone:

Email: