SOPRANOBook nowFor referring clinicians · Edinburgh
Expertise to share.
Care to coordinate.
Refer to Dr Andrew Culbard and Dr Shad Jaff for considered aesthetic assessment, complex treatment planning, jaw-related concerns and support with aesthetic complications.
Based in Bruntsfield, we welcome a conversation about the patient, the clinical question and the most appropriate next step.
A shared focus.
The patient in front of us.
A clear clinical question
We consider each referral individually. Advice, assessment, treatment planning or onward referral may be the appropriate outcome.
Complex histories, previous treatment, second opinions and planning where anatomy, expectations or a staged approach need particular consideration. The starting point is a careful review of the patient’s priorities and clinical history.
Clenching, grinding and suspected chewing-muscle involvement, including questions about the masseter and temporalis. We consider the dental, muscular and joint picture, with medical or specialist input where needed.
Clinical review after aesthetic treatment, unexpected outcomes and support in deciding what should happen next. Urgency and the patient’s immediate needs come before routine referral arrangements.
Headaches need the right assessment. Jaw symptoms and headaches can overlap, but they are not interchangeable diagnoses. This pathway does not replace medical assessment of headache or specialist headache care. A referral does not imply that an injectable treatment is indicated.
Your receiving clinicians
Our clinic directors bring backgrounds in dentistry, facial aesthetics and clinical education to their work at Soprano.
Clinic Director · Facial aesthetics
Andrew’s work brings together dentistry and facial aesthetics, with attention to facial anatomy, proportion and individual treatment planning.
He co-founded Facial Aesthetic Courses in 2015 and teaches healthcare professionals alongside his clinical practice.
BDS (Glasgow), Dip MJDF, Dip Clin Orth
GDC registration: 244040
Clinic Director · Facial aesthetics
Shad’s background spans dentistry, aesthetic practice and teaching, including work in Harvey Nichols and on Harley Street.
He has taught within a Scottish aesthetics training academy and brings that clinical and educational experience to assessment, treatment planning and patient care at Soprano.
From enquiry to assessment
Good referrals help everyone understand the reason for the appointment, what has happened so far and who is responsible for the next stage of care.
Contact the clinic with the reason for referral and level of urgency. The team will help identify the appropriate next step and how to share the clinical information.
The referral is reviewed for suitability. We clarify the receiving clinician, any further information needed, appointment arrangements and fees before proceeding.
Following assessment, the patient is offered an explanation of the findings and options. With their permission, recommendations can be shared with the referring clinician.
Before referring
A concise clinical summary is often the most useful starting point. Share relevant information with the patient’s knowledge and appropriate permission.
Please provide information relevant to the referral. The online upload facility will be added once the clinic’s new referral account is ready.
Contact the clinic
For a referral enquiry, phone the team and explain that you are a clinician referring a patient. Please indicate if you have already spoken to Andrew or Shad.
We are preparing an online route for clinical information and relevant photographs. Until it is available, please phone the clinic to agree how to share your referral.
This page does not currently collect patient information or accept file uploads.
For referring colleagues
Practical information about scope, communication and coordinating care.
Dentists, doctors and other treating healthcare professionals can contact the clinic to discuss whether a referral is appropriate. Please tell us your professional role and the clinical question you would like us to address. We review the scope of the referral before confirming an appointment.
Yes. Please tell the team if you have a preference, or if you have already discussed the case with one of our directors. We will consider the clinical requirements and availability before confirming who will see the patient.
Referrals may include clenching, grinding, chewing-muscle discomfort or a question about masseter or temporalis management. Assessment considers the muscles, jaw joints, dental health and wider history. An injection is not an assumed outcome. Dental protection, conservative care or onward assessment may be more appropriate.
We can consider headaches where a jaw-related component is suspected, alongside the dental and medical history. This is not a general headache or neurology service. A headache should not automatically be attributed to clenching or TMD; new, unusual or worsening headaches may require medical assessment.
Yes, you can contact us about a second opinion, an unexpected result or a suspected complication. Where available, please have the original treatment record, product details, dates, symptom timeline and details of care already provided ready. We will first establish whether the case is appropriate for our service and how urgently it needs assessment.
Phone 0131 229 6688 and explain that you are a clinician seeking urgent clinical advice. We aim to respond as soon as possible, but immediate availability cannot be guaranteed. Do not wait for a reply to an online referral or message if the patient needs urgent assessment. Use the appropriate emergency or specialist pathway when required.
Our online referral form is being prepared. For now, telephone the clinic to discuss the referral process and agree an appropriate route for sharing clinical information. Please do not send patient photographs or sensitive records through social media or an unconfirmed email address.
A referral enquiry does not confirm acceptance, an appointment or a transfer of clinical responsibility. The referring clinician should maintain appropriate care and escalation arrangements until the receiving clinician has confirmed the next steps. We will clarify the scope of any assessment or treatment with the patient and referrer.
The consultation is intended to clarify the concern, options and appropriate next steps. With the patient’s permission, findings and recommendations can be shared with the referrer. Any proposed treatment, limitations and fees are discussed before the patient decides whether to proceed.
Further information
SOPRANO
Choose your treatment, practitioner and appointment time through our secure Phorest booking service.
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0131 229 6688 · info@soprano.clinic