About
A referral practice that behaves like one.
Founded in 2009 on one operating principle: we place, you restore. Everything else on this page follows from that.
The idea
A specialist practice exists because somebody else decided their patient needed one. That makes the referring dentist the client as much as the patient is, and it makes the quality of what we send back as important as the quality of what we do.
So we write back. The classification, the anatomy, the plan and the named risks, in the same week. The operative note within a day. The fixture record with a date the site is ready to impress. The histology report the day it lands, with a phone call if it is unexpected. None of this is remarkable, and all of it is the reason practices keep sending us work.
And we do not restore. Not because we could not, but because a referral practice that competes with its referrers is a referral practice with a shrinking list.
What we will not do
The list that says more than the other one.
Every practice publishes what it does. This is the part that is harder to write and more useful to read.
Remove healthy third molars for the sake of it
Prophylactic removal of disease-free impacted third molars is not supported by the evidence, and we will say so on the letter rather than book the case.
Operate on a jaw joint that has had nothing tried
The great majority of temporomandibular disorder settles with conservative management. Patients who arrive having been offered nothing get an exercise programme and a review, not an arthroscopy.
Publish a success rate
There is no outcome statistic, no star rating and no aggregate score anywhere on this site. The risk figures we quote are published-literature ranges and are labelled as such.
Sell an irreversible plan to an uncertain patient
Full-arch treatment removes teeth and reduces bone, permanently. When there is doubt we slow the plan down, and sometimes we recommend a removable option instead.
Diagnose from a photograph
We will look at a clinical photograph to help decide urgency, and often reply the same day. We will not call a lesion benign without a specimen.
Take your restorative work
The patient goes back to you. Every time. It is written into the discharge letter.
The people
Three surgeons, and who takes what.
How a case runs
Referral to handback.
The referral arrives
Clinical
- Secure portal, encrypted email or fax — whichever your practice already uses.
- Triaged the day it arrives; anything with a red flag is pulled out of the queue.
- Imaging reviewed before the appointment is offered, so the slot length matches the case.
- A written acknowledgement back to you with the triage decision.
In plain language
- Your dentist sends us your details, your x-rays and what they are worried about.
- We look at the x-rays before we offer you a time, so the appointment is the right length.
- You will hear from us to book. If it is urgent we will call rather than write.
Assessment and consent
Clinical
- Full medical history including anticoagulants, antiplatelets, antiresorptives and antiangiogenics.
- ASA classification recorded and anaesthesia planned against it.
- Examination, imaging review, and a written plan with named risks.
- A copy of the consultation letter to you the same week.
In plain language
- We examine you, look at the scans with you, and explain what we think should happen.
- Bring a list of every medicine you take, including ones from the hospital and anything you buy yourself.
- You will hear the risks out loud, not just read them. Ask us anything, twice if you like.
- Nothing is booked on the day unless you want it to be.
Imaging and planning
Clinical
- CBCT on site with a field of view matched to the question being asked.
- Intraoral scanning for implant and orthognathic planning.
- Virtual planning for full-arch and orthognathic cases, shared before the surgical date.
- DICOM available to you on request — we would rather you had the data than a screenshot.
In plain language
- Most scans happen here, usually on the same visit, and take a couple of minutes standing still.
- A cone beam scan is a 3D x-ray. The dose is higher than a normal dental x-ray and much lower than a hospital CT.
- We only take one if it will change what we do.
The procedure
Clinical
- Office-based under local, local with IV sedation, or general anaesthesia; hospital for orthognathic and major reconstruction.
- Antibiotic prophylaxis by indication, not by habit.
- Anticoagulation managed to current guidance — we do not routinely stop DOACs for simple dentoalveolar surgery.
- Operative note and post-operative regime to you within 24 hours.
In plain language
- You choose, with us, how awake you want to be. Sedation means you will not remember much of it.
- If you are having sedation you need an adult to bring you and take you home, and to stay with you.
- You will leave with written instructions and a number to call. Please actually take the written instructions.
Recovery and handback
Clinical
- Review at 7–14 days for most cases; earlier where there is a specific concern.
- Discharge letter with the histology, the fixture record or the fixation detail, as applicable.
- The patient returns to you for restorative care — we place, you restore.
- Direct line stays open to you for as long as the case needs it.
In plain language
- Swelling peaks around two to three days and then improves. That is normal and expected.
- The recovery page tells you what to eat, what to expect, and exactly when to call.
- You go back to your own dentist for the rest of your care.
Credentials