An oral medicine consultation focuses on careful assessment, accurate diagnosis, and clear explanation. Many patients attend following referral for persistent or complex oral symptoms, often where a diagnosis has not yet been established.

Before your appointment

You may be asked to bring:

  • A list of current medications

  • Relevant medical history

  • Any previous clinic letters or investigation results

If you have been referred by a dentist or doctor, relevant information will usually already have been provided.

During the consultation

Your appointment will include:

  • A detailed discussion of your symptoms and medical history

  • A thorough examination of the oral cavity and surrounding structures

  • Consideration of potential underlying local or systemic causes

Where possible, findings and likely diagnoses will be explained during the consultation, along with an outline of management options.

Investigations

In some cases, further investigations are required to support diagnosis.

Oral biopsy
If a biopsy is needed, this is performed by specialist oral surgery colleagues that work closely with Dr Shanahan. This ensures that biopsies are carried out in an appropriate specialist setting, with results reviewed as part of your ongoing care.

Blood tests
Occasionally, blood investigations are required. These are usually arranged via your general practitioner, with clear guidance provided regarding the tests requested.

Not all patients will require investigations, and this will be discussed with you in advance.

After your appointment

Following assessment:

  • A written report will be provided to you and your referrer

  • Management recommendations will be clearly outlined

  • Follow-up will be arranged where appropriate

Where care involves collaboration with other specialists, this will be coordinated to ensure continuity and clarity.

Communication with referrers

Clear communication is a priority.
Referring clinicians receive timely correspondence outlining diagnosis, investigations, and management plans.