Quick Reference Guide for Referring Doctors
Educational resources and guidelines to help you determine when specialist periodontal care is needed.
When to Refer to a Periodontist
Immediate Referral Recommended
Periodontal Disease
– Pocket depths ≥5mm with bleeding on probing
– Radiographic bone loss >30% of root length
– Tooth mobility (Class II or III)
– Furcation involvement (Class II or III)
– Recurrent periodontal abscesses
– Failed scaling and root planing after 6-8 weeks
Implant Needs
– Bone grafting is required for implant placement
– Sinus lift procedures are needed
– Aesthetic zone implant placement
– Full arch rehabilitation cases
– Implant complications or peri-implantitis
Complex Surgical Cases
– Impacted wisdom teeth requiring surgical removal
– Extensive gum recession requiring grafting
– Pre-prosthetic surgery needs
– Multiple extractions with complex medical history
Consider Referral For
– High-risk patients (diabetes, smoking, immunocompromised)
– Patient anxiety about periodontal treatment
– Complex treatment planning requiring specialist input
– Second opinion requests
Periodontal Disease Staging (Quick Reference)
Stage I (Initial)
CAL: 1-2mm
Bone loss: <15%
Treatment: Consider referral if risk factors present
Stage II (Moderate)
CAL: 3-4mm
Bone loss: 15-33%
Treatment: Refer if failed initial therapy
Stage III (Severe)
CAL: ≥5mm
Bone loss: ≥33%
Treatment: Immediate referral recommended
Stage IV (Very Severe)
CAL: ≥5mm
Bone loss: extensive
Tooth loss: ≥5 teeth
Treatment: Immediate referral required
Treatment Options Available
Non-Surgical Treatments
– LANAP® Laser Therapy (FDA-cleared regeneration, no surgery)
– Scaling and Root Planing with advanced techniques
– Guided Biofilm Therapy (GBT) for maintenance
Periodontal maintenance protocols
Implant Services
– Single and multiple implant placement
– Full arch restoration (All-on-4/All-on-6)
– Bone grafting and sinus augmentation
– Computer-guided implant surgery
– LAPIP® for implant complications
Surgical Procedures
– Gum grafting for recession coverage
– Crown lengthening for restorative needs
– Ridge augmentation and preservation
– Complex extractions and wisdom teeth
Treatment Timeline Expectations
LANAP® Laser Therapy
Patient returns to referring practice for routine maintenance
Dental Implants
Consultation → Implant placement → Healing (3-6 months) → Restoration
Coordinate timing with your restorative treatment plan
Gum Grafting
Consultation → Surgery → Healing (2-4 weeks) → Final evaluation
Return to referring practice for ongoing care
Periodontal Maintenance
After active treatment, patients need cleanings every 3-4 months
Can be shared between specialist and referring practice
What Your Patients Will Experience
Consultation Process:
– Comprehensive evaluation with 3D imaging
– Treatment options explained in patient’s preferred language
– Clear cost estimates and insurance verification
– No-pressure environment for decision-making
During Treatment:
– Multiple sedation options available
– Gentle, anxiety-reducing techniques
– Modern, comfortable office environment
– Multilingual care (Spanish, Portuguese, Russian, English)
Post-Treatment:
– Detailed home care instructions
– 24/7 emergency support
– Regular progress monitoring
– Coordination with your practice for ongoing care
Communication & Reports
You’ll Receive:
– Within 24 hours: Comprehensive consultation report
– Throughout treatment: Progress updates at key milestones
– At completion: Treatment summary with maintenance recommendations
– Always: Immediate notifi cation of complications or concerns
Report Includes:
– Clinical findings and diagnosis
– Treatment recommendations with alternatives
– Prognosis and timeline
– Insurance and cost information
Downloadable Resources
Periodontal Referral Quick Guide
One-page reference for common referral scenarios
Patient Referral Form
LANAP® Patient Information Sheet
Explain laser therapy benefits to patients
Dental Implant Patient Brochure
Insurance Coverage Guide
Professional Development
Lunch & Learn Sessions Available:
– “Periodontal Red Flags: When to Refer”
– “LANAP® vs Traditional Surgery”
– “Implant Treatment Planning Essentials”
– “Managing Periodontal-Restorative Cases”
Schedule a practice visit: Call (305) 652-2255
Case Consultation Available:
Not sure if referral is needed? Call for professional consultation on complex cases before referring.
Emergency Referral Protocol
24/7 Emergency Line: (305) 652-2255
Urgent Situations:
– Acute periodontal infections with facial swelling
– Post-operative complications
– Severe bleeding following procedures
– Implant emergencies
– Trauma affecting periodontal tissues
For emergencies: Call directly first, then follow up with a referral form for documentation.
Patient Education Resources
What to Tell Patients About Referral:
“I’m referring you to Dr. Lorena Corzo, a board-certified periodontist who specializes in [condition]. She has advanced training from Boston University and provides care in multiple languages. Her practice focuses on patient comfort using the latest technology, including LANAP® laser therapy. She’ll work with me to ensure you receive the best possible care.”
Helpful Points to Mention:
– Board-certified specialist with advanced training
– Gentle, modern treatment approaches
– Care available in their preferred language
– Collaborative care maintaining your relationship
– Same-day consultations available
Contact for Referral Questions
Professional Referral Team: (305) 652-2255
CōR Perio
Dr. Lorena Corzo, DDS, MS
Board-Certified Periodontist
15805 Biscayne Blvd, Suite 202
North Miami Beach, FL 33160
Fax: (305) 653-5089
Questions about referring a specific case? Our team is here to help. Call anytime to discuss patient needs and referral appropriateness.
Thank you for trusting CōR Perio as your periodontal specialist. We’re committed to providing exceptional care for your patients while maintaining the collaborative relationships essential to optimal outcomes.
