(703) 273 7846

Referring Doctor Form

Thank you for referring your patient to NOVA Prosthodontics. We will treat your patient with the care and precision you have come to expect from us.

Please use the referral form found below or download a copy here along with the brochure “Why am I being referred to a Prosthodontist?” to aid your patients in understanding why you may be making this referral. We would be more than happy to mail additional copies to your office on request.

Please make sure to answer all the fields in this form to help us serve you and your patient best. Also, feel free to call us any time with concerns or questions.

    Patient Appointment

    Please inform patient to call us on 703-273-7846 to book their appointment

    Referral For:

    Follow Up Care:

    Will Radiographs Be Sent?

    If YES, please email to info@novaprosthodontics.com

    Articles From the Nova Prosthodontics Newsletter

    Post-Traumatic Presentation | Nova Prosthodontics

    Unique Post-Traumatic Presentation of Central Incisors 13 Years Following Initial Trauma

    By William Wilson, Jr., DDS, MS I would like to share an interesting case we had the privilege to treat in our office following a referral from this young man’s..

    Implant Planning and Surgical Guides | Nova Prosthodontics

    Computer Assisted Implant Planning and 3-D Printed Surgical Guides

    By William Wilson, Jr., DDS, MS When planning for surgical placement of dental implants it is imperative that we begin with the end in mind. No longer should we be..

    How to diagnose a gummy Smile | Nova Prosthodontics

    Diagnosing the Gummy Smile

    By Caroline C. Eskow, DDS, MS I’d venture to say that we’ve all met someone who was looking for a solution for their gummy smile. This person sometimes isn’t even..

    Fractured Implant Abutment Screws | Nova Prosthodontics

    Fractured Implant Abutment Screws

    … And What To Do When It Happens By William Wilson, Jr., DDS, MS How many patients call you to schedule an appointment knowing they are going to break a..

    Comprehensive Implant Treatment | Nova Prosthodontics

    Comprehensive Implant Treatment

    Do You Have a Patient Needing Comprehensive Implant Treatment? CASE SUMMARY: Extending a prosthesis posteriorly without additional grafting By Caroline C. Eskow, DDS, MS   This is a patient who..

    REPAIR OF FRACTURED PORCELAIN | Nova Prosthodontics

    Repair Of Fractured Porcelain

    A patient took a hard fall and fractured the porcelain of her screw-retained, implant supported, ceramo-metal “bridge”. Can it be repaired? By William Wilson, Jr., DDS, MS and Kimberly Palladino…

    Diagnostic Considerations For The Edentulous Maxilla

    What are some of the diagnostic considerations prior to treatment with a fixed maxillary implant supported prosthesis? In this issue, we will address some of the most important factors we..

    Screw Retained

    Converting a cement-retained implant restoration to screw-retained when the angulation is less than ideal

    I had a patient referred to me with loose abutment screws of two central incisor implants.  For a screw-retained restoration this is usually not a big deal, but this case..

    Diagnostic Considerations For A Maxillary Implant Supported Prosthesis

    The utilization of dental implants as anchorage for dental prostheses has increased considerably in the past decade. Advancements in dental implant treatment has enabled the dental practitioner to treatment plan..