Evaluation of the joint orthodontic-paediatric-restorative clinic at Leeds Dental Institute: a review of referral sources, case management, and outcomes

Objective To evaluate the joint orthodontic, paediatric and restorative (JOPR) clinic at Leeds Dental Institute, which manages complex dental cases requiring multidisciplinary care.

Design Retrospective service evaluation.

Setting Multidisciplinary clinic at Leeds Dental Institute.

Materials and methods Data were collected from all new patient consultations at the JOPR clinic between March 2023 and April 2024. Referral sources, case types, patient demographics, treatment pathways, and outcomes were analysed, along with timeframes along the patient journey.

Results Hypodontia was the most common reason for referral, followed by ectopic/impacted teeth, trauma, and developmental abnormalities. Most referrals originated internally, particularly from orthodontics. Treatment planning typically involved orthodontic-led space management, followed by restorative or paediatric input. A significant proportion of patients were referred to primary care for treatment delivery. The average triage time was 13 days, and average time from referral to clinic attendance was 69 days. Treatment duration varied significantly due to case complexity and interdepartmental coordination.

Conclusion The JOPR clinic facilitates efficient interdisciplinary planning and care for patients with complex dental needs. This model improves coordination, reduces duplication, and supports targeted treatment delivery. Findings may inform the development of similar services and align with national care improvement initiatives.