Conditions we treat at Dental & Wellness London

No, we do not treat during pregnancy. Thread veins that appear in pregnancy sometimes fade in the months after the birth, so it is sensible to wait and reassess.

No. Varicose veins, swollen or painful legs, skin changes or ulcers need GP assessment and referral to a vascular specialist first. We treat fine thread veins only.

Often yes, with particular care. The Lynton Nd:YAG laser is generally the more appropriate choice for darker skin, a patch test is carried out first, and if treatment is not safe for your skin we will tell you.

Vessels that are successfully treated do not usually return, but the underlying tendency remains, so new thread veins can form over time. Some patients choose an occasional top-up session; results vary.

There is little real downtime. Expect redness and mild swelling for a day or two and possibly some bruising or darkening that fades over several weeks; avoid hot baths, saunas and strenuous exercise for 24 to 48 hours and protect treated skin from the sun.

Most people describe a brief, hot snap, similar to a flicked elastic band, and the treatment head is cooled. Discomfort is short-lived and you can return to normal activities the same day.

Usually 2 to 4 sessions, spaced 6 to 8 weeks apart so treated veins can clear between visits. Fine red and blue veins respond best, and results vary from person to person.

Leg thread vein treatment is £75 per session, and most people need 2 to 4 sessions. The skin and aesthetic consultation is £65, redeemable in full against treatment, and the patch test is free where needed.

No. We postpone treatment until after pregnancy and breastfeeding. Some vessels that appear in pregnancy fade on their own afterwards.

It can reduce visible vessels and some background redness, but it does not cure rosacea. We combine treatment with advice on triggers and sun protection, and suggest GP or dermatologist care where medical treatment is needed.

Often, with care. We usually favour the Lynton Nd:YAG laser, use conservative settings and patch test first, because darker skin has a higher risk of pigment change. If it is not safe, we will say so.

A vessel that has been closed does not usually reopen, but new thread veins can form with sun exposure, flushing or rosacea. Some people return for occasional maintenance.

Very little. The skin is usually pink and slightly swollen for a day or two, and occasional light bruising settles within one to two weeks. Daily SPF 50 is essential afterwards.

Most people describe each pulse as a warm flash or a quick snap against the skin. It is usually manageable without numbing, and the device cools the skin as it works.

Many people need 1 to 3 sessions, about four weeks apart. Small red vessels can clear in one; wider redness or rosacea usually needs a short course, and results vary.

Prices vary by clinic. At Dental & Wellness London, Islington, facial thread vein removal is from £80 per session, and the skin consultation is £65, redeemable in full against treatment.

Yes. We offer 0% APR finance over 12 months via Tabeo, subject to status, on Express, Moderate and Unlimited. The total and monthly amount are set out in writing with your treatment plan, so you can take it home and consider it before booking. There is no pressure to decide at the consultation.

Rarely. An overbite is a relationship between the upper and lower teeth, so correcting it usually means moving both arches, sometimes with small elastics. Treating one arch alone can leave the teeth meeting awkwardly. If your scan shows a bite problem, we will recommend a both-arch plan and explain why.

Plans follow the amount and type of movement, not the number of arches. A single arch with significant crowding or several rotated teeth can need as many aligners as a simple case treating both arches. That is why some one-arch cases sit on Moderate rather than Express. Your ClinCheck shows exactly what is planned.

It can be, when the upper teeth are the only concern and the bite is already good. If the lower teeth are also crowded, or the upper teeth would need to move in a way that affects the bite, treating both arches usually gives a more stable and balanced result. We explain which applies after your scan.

We do not price one arch as a separate product. At Dental & Wellness London, most single-arch cases sit on Invisalign Express at £2,200 or Moderate at £3,400, depending on how much movement is needed. The consultation, iTero scan and ClinCheck preview are free, and the plan and fee are confirmed in writing afterwards.

Yes, if the concern is confined to the lower arch and your bite is sound. Lower front crowding is one of the most common single-arch cases we see. We scan both arches at the free consultation, because moving the lower teeth changes how they meet the upper teeth, and we only recommend one arch when the bite allows it.

Population research has not established sound amalgam fillings as a cause of general symptoms or illness, and we will not attribute unexplained symptoms to your fillings in order to recommend a procedure. If you feel unwell, please see your GP. We can give you an honest view of what your fillings do and do not explain.

We apply the IAOMT's SMART precautions as our technical standard, and we are careful not to claim more than that. What protects you in the chair is the set of precautions actually used on the day, so we explain each one before treatment. We would encourage you to ask any clinic exactly which measures it uses.

Composite resin for most small and medium cavities, usually in one visit. Ceramic inlays or onlays where a larger area of a back tooth needs rebuilding, and crowns where the tooth is weak or cracked. The choice is made tooth by tooth by Dr Vishal Patel, based on bite forces and how much healthy tooth remains.

Mainstream guidance is to avoid elective dental work, including non-urgent amalgam removal, during pregnancy and breastfeeding, and we follow it. If a filling is failing and needs attention while you are expecting, we manage it conservatively and plan anything elective for later. Please tell us if you are pregnant or planning a pregnancy.

No, not as a blanket rule. We replace fillings that are failing or clinically indicated, and we support informed personal preference. We do not advise removing sound, functioning fillings for general-health reasons, in line with mainstream dental evidence, and we will tell you so plainly at your examination.

The Safe Mercury Amalgam Removal Technique, published by the International Academy of Oral Medicine and Toxicology. It sets out precautions for removing amalgam: rubber-dam isolation, high-volume suction, water cooling, sectioning the filling in pieces, air filtration and protective coverings. We apply these precautions whenever we remove an amalgam at our Islington clinic.

It depends on the number and size of fillings and what replaces each one, so we give a written, itemised quote after a £65 examination. Composite replacements are quoted in writing; ceramic inlays are £750, onlays £850 and crowns £950 to £1,200. 0% APR finance over 12 months via Tabeo is available, subject to status.

We make partial dentures at 222 Essex Road, Islington, London N1 3AP, about two minutes from Essex Road station and one stop from Highbury & Islington. The 38, 56, 73, 341 and 476 buses stop nearby, and Angel is 15–20 minutes' walk. We are open Monday to Friday, 8am to 7pm (Tuesday from 9am), by appointment.

Yes, in the short term. A flexible single-tooth denture is from £600, while a single implant is from £2,200 including the crown. Implants preserve bone and feel fixed, but need surgery and healing time. A denture can also be a sound interim step while you plan an implant with our implant dentist, Dr Rishil Patel.

Usually, yes, with care. Sensitivity is a reason to plan rather than to avoid whitening. We look for the cause first, such as gum recession, grinding or acid wear, then use a lower-strength or desensitising gel and adjust wear time. Many sensitive patients whiten comfortably at home with custom trays, which allow the pace to be slowed if needed.

With good care, a flexible partial denture typically lasts several years and a cobalt chrome denture often longer, though results vary. The gum and bone beneath a gap change slowly, so a denture may need relining to restore its fit or eventually replacing. We check the fit at your routine examinations and advise when an adjustment is due.

In the UK, tooth whitening is a dental procedure. Gels containing more than 0.1% hydrogen peroxide can only be provided by, or on the prescription of, a registered dental professional after an examination. Salon treatments using stronger gels are operating outside the law, and they cannot check whether your gums, enamel and existing dental work are suitable.

Not if they are well designed and well cared for. Clasps place some extra load on the teeth they grip, and plaque can collect around them, which raises the risk of decay and gum disease. We design clasps and rests to spread forces, and regular hygiene visits (30 minutes, £85) and check-ups protect the supporting teeth.

No. Peroxide whitens natural tooth structure only and has no effect on porcelain, composite or other dental work. If restorations are visible, we assess them before you start, because whitening the surrounding teeth can make them look darker. Sometimes the best sequence is to whiten first, wait around two weeks, then replace older restorations to match.

Most patients keep a good result for one to three years, depending on how much coffee, tea, red wine and tobacco they have. Whitening gives you a lighter starting point rather than stopping new stain. Because you keep your custom trays, maintaining the shade is usually a few nights of top-up gel rather than repeating the whole treatment.

Yes. A one tooth denture is a common, non-surgical way to fill a single gap without preparing the neighbouring teeth. We usually make it in a flexible material from £600, and it can be fitted in one appointment once records are complete. If an implant or bridge would serve you better, we explain why before you decide.

Whitening itself is not painful, but some people notice temporary sensitivity, often brief twinges, during the course or for a day or two afterwards. We reduce this by controlling gel strength and wear time, using a desensitising formulation where needed and protecting the gums. If your teeth are already sensitive, tell us at assessment so we can adapt the plan.

It depends on the gap. A flexible denture with gum-coloured clasps suits a single tooth or a small gap and is light and discreet. A cobalt chrome framework suits several missing teeth: it is thinner, stronger and more stable. Temporary acrylic dentures are useful while gums heal. We recommend the design that suits your teeth, gums and bite.

In-chair whitening gives a fast, supervised head-start; home whitening with custom trays is gentler, more even and easy to top up. Used together, they give the most predictable and lasting result for most people. Either works well alone if it is planned around your teeth. We recommend the approach at assessment, once we know why your teeth are the colour they are.

At Dental & Wellness London, a single method of professional teeth whitening, either in-chair or custom take-home trays, is £450. The combined plan is £780 and includes an in-chair session, custom trays, gel and a review. Internal whitening for one darkened tooth is £495. Any treatment needed beforehand is quoted in writing first, and 0% APR finance over 12 months via Tabeo is available, subject to status.

At Dental & Wellness London in Islington, a flexible single-tooth partial denture is from £600 and a cobalt chrome partial denture is from £1,200. Larger and complete dentures are quoted in writing after assessment. Every plan starts with a dental examination (£65), and 0% APR finance over 12 months via Tabeo is available, subject to status.

Our practice is at 222 Essex Road, Islington, London N1 3AP, two minutes from Essex Road station and one stop from Highbury & Islington. Buses 38, 56, 73, 341 and 476 stop nearby, and Angel is a 15–20 minute walk. Many patients cycle or use Lime and Forest e-bikes. We are open Monday to Friday, 8am to 7pm (Tuesday from 9am), by appointment.

Yes. The clinic is on the ground floor and is wheelchair accessible. If you have particular needs, such as extra time, a carer attending or anxiety about dental treatment, let us know when you book and we will plan the appointment around them. We are open Monday to Friday, 8am to 7pm (Tuesday from 9am), by appointment only.

We assess teenagers and treat suitable cases with aligners, with a parent present at consultation. Whether aligners or fixed braces suit a teenager depends partly on how reliably they will be worn, which we discuss openly. Where growth modification or a complex bite is involved, we refer to a specialist orthodontist. NHS orthodontics may be available to under-18s who meet clinical criteria.

Yes. We offer 0% APR finance over 12 months via Tabeo, subject to status, for larger treatment such as Invisalign, implants and veneers. Your treatment is quoted in writing first, so you know the full cost before deciding whether to spread it. Routine examinations and hygiene visits are paid on the day.

Most people feel pressure or tenderness for a day or two after each new aligner or adjustment, which settles with time. Aligners avoid the cheek and lip irritation that brackets and wires can cause. Simple pain relief is rarely needed beyond the first few days. Persistent pain is not normal, and we would want to see you if it occurs.

For mild to moderate crowding, spacing and many bite corrections, aligners such as Invisalign work as well as fixed braces when they are worn around 22 hours a day. Fixed braces still have the edge for severe rotations, extraction cases and skeletal discrepancies. We tell you at consultation which category your teeth fall into, and refer where a specialist is the better choice.

For many adults it is, because aligned teeth are easier to clean, wear more evenly and often look more balanced. It is worth it when the plan is sound and retention is taken seriously. It is not worth it if the gums are unhealthy or the result cannot be held. A free consultation tells you which applies to you before you spend anything.

For small irregularities of the front teeth, a short aligner course such as Invisalign Express, or Six Month Smiles, can finish in months rather than years. Speed should follow the biology, though; forcing movement risks the roots and gums. Where a quick cosmetic change is all that is needed, composite bonding may disguise the irregularity without moving teeth at all.

Yes. Many patients travel from across north London, including Highbury, Hackney, Stoke Newington and the City, and some come further for orthodontic and cosmetic treatment. We are at 222 Essex Road, N1 3AP, two minutes from Essex Road station, with buses 38, 56, 73, 341 and 476 stopping nearby.

It depends on the system and the complexity of the case. At Dental & Wellness London, Invisalign Express is £2,200, Moderate £3,400 and Unlimited £4,500–£4,900. Spark aligners and Six Month Smiles are quoted in writing after assessment. The orthodontic consultation, with an iTero scan and ClinCheck preview, is free, and 0% APR finance over 12 months via Tabeo is available, subject to status.

Our clinic is at 222 Essex Road, Islington, London N1 3AP, two minutes from Essex Road station and on the 38, 56, 73, 341 and 476 bus routes. Appointments are Monday to Friday, 8am to 7pm (Tuesday from 9am). Local patients can find more on our composite bonding Islington page.

In most cases, yes. Bonding is added to the enamel rather than replacing it, and usually needs little or no drilling, so it can normally be polished away later. That is one of its main advantages over porcelain veneers, which usually need some enamel preparation. We explain clearly beforehand if your case needs any shaping of the tooth.

Check who will treat you and their GDC registration, whether you will get an itemised written plan, how long appointments are, and how complications and complaints are handled. Read reviews over several years. A good clinic explains options including doing nothing, and refers to a specialist when that serves you better.

Yes. Bonding is usually the simplest way to repair a chipped front tooth, rebuilding the missing piece in matched composite in a single visit. If chips keep happening, we look for grinding or a bite problem first, because bonding under heavy force can chip again. Large or painful chips need a clinical assessment before any cosmetic repair.

A single tooth usually takes under an hour, including shade matching, layering and polishing. Several teeth are treated in one longer appointment, often two to three hours for six front teeth. Most patients need no anaesthetic. Before that, a 30-minute consultation confirms whether bonding suits you and whether hygiene or whitening should come first.

Yes. Consultations for orthodontics, including Invisalign, are free and include an iTero scan and, where appropriate, a ClinCheck preview of the planned tooth movement. Dr Vishal Patel is an Invisalign Diamond II provider. Invisalign is £2,200 for Express, £3,400 for Moderate and £4,500 to £4,900 for Unlimited.

Composite bonding is one form of teeth bonding. "Teeth bonding" is the umbrella term covering edge bonding, composite bonding and composite veneers, which all use the same resin and adhesive technique but cover different amounts of the tooth. Our composite bonding page covers the most common form in detail.

At Dental & Wellness London, teeth bonding is £175 per tooth for simple work, including edge bonding, and £350 per tooth for complex work. Composite veneers, which cover the whole front of the tooth, are £350–£500 per tooth. The consultation is £65, and 0% APR finance over 12 months via Tabeo is available, subject to status.

Dental bonding is a cosmetic treatment in which tooth-coloured composite resin is attached to the surface of a tooth with an adhesive, then sculpted, hardened with a curing light and polished. It is used to repair chips, close small gaps, reshape edges and cover discolouration. It is usually done in one visit with little or no drilling.

Adults typically replace a guard every one to three years, depending on how often and how hard it is used. Teenagers often need one every six to twelve months. Replace a guard sooner if it splits, thins, becomes loose or tight, or after treatment that changes the shape of the teeth. Bring it to your check-ups so we can assess it.

For an adult tooth, hold it by the crown, rinse it briefly in milk or cold water if dirty, and try to put it back in the socket, biting on a clean cloth. If you cannot, keep it in milk and see a dentist immediately; the first hour matters. Never replant a baby tooth. Call 020 8127 4567 and we will advise on the next step.

Yes. We make guards for junior players in colts rugby, school hockey and martial arts. Because children's teeth and jaws are still changing, guards usually need replacing every six to twelve months. We check the fit at routine children's examinations, which are £45, and advise when a new guard is needed. Our clinic is at 222 Essex Road, N1 3AP.

Largely, yes. Because composite is bonded onto the enamel and usually needs little or no drilling, it can normally be polished away later, leaving the natural tooth broadly as it was. A small amount of enamel shaping is occasionally needed to blend an edge, and we always explain this before treatment so you can decide with the full picture.

Composite bonding typically lasts around five to seven years before it needs refinement, and often longer with good care. Refinement is usually a polish or small repair rather than a full redo. Grinding, nail-biting and staining drinks shorten its life; a night guard, regular hygiene visits and an occasional polish help it last. Results vary between patients.

At Dental & Wellness London, composite bonding is £175 per tooth for simple work, such as chips and edge bonding, and £350 per tooth for complex additions. The consultation is £65. Multi-tooth plans are priced tooth by tooth and set out in writing, and 0% APR finance over 12 months via Tabeo is available, subject to status.

We are at 222 Essex Road, Islington, London N1 3AP, two minutes from Essex Road station. Buses 38, 56, 73, 341 and 476 stop nearby, Highbury & Islington is one stop away, and Angel is a 15–20 minute walk. Many patients cycle or use Lime and Forest e-bikes.

They can if retainers are not worn. Teeth tend to drift throughout life, so retention is a permanent part of treatment. Most patients wear a removable retainer at night, sometimes with a fine bonded wire behind the front teeth. Retainers are quoted in writing with your treatment plan.

Contact us. Usually you move to the next tray early or go back to the previous one while a replacement is arranged; which is right depends on where you are in treatment. Keep your previous trays in their case for this reason, and do not go without an aligner for long, as teeth can start to move back.

It is best not to. Hot drinks can distort the plastic, and coffee and tea stain the trays and can sit against the teeth. Take the aligners out, drink, then rinse or brush before putting them back. Plain water is the only drink we suggest with aligners in.

Most courses take three to eighteen months. Small front-tooth corrections may need only a few months, while crowding in both arches or bite correction takes longer. Wearing the trays for 20 to 22 hours a day keeps treatment on schedule. Your digital plan gives a realistic estimate before you start.

The best clear aligners are the ones planned and supervised properly for your case. Invisalign has the longest clinical record and the widest range of tools; Spark suits many similar cases. Both are prescribed after an in-person examination. Mail-order systems skip that step, which is where most problems begin.

At our clinic, Invisalign Express costs £2,200, Moderate £3,400 and Unlimited £4,500–£4,900; Spark aligners are quoted in writing after assessment. The orthodontic consultation, with iTero scan, is free. Retainers are quoted with your plan, and 0% APR finance over 12 months is available via Tabeo, subject to status.

Yes. We are at 222 Essex Road, Islington, London N1 3AP, two minutes from Essex Road station and one stop from Highbury & Islington. Angel is a 15–20 minute walk, and buses 38, 56, 73, 341 and 476 stop nearby. Appointments are Monday to Friday, 8am to 7pm (Tuesday from 9am).

Yes. If a bridge debonds it can often be re-cemented, and if it fractures or the support teeth develop problems it can be replaced. Sometimes, at that point, an implant becomes the better option. Regular check-ups help us spot problems at the margins early, when they are simpler to fix.

From normal conversational distance, most people will not notice. The trays are clear and thin, and attachments are tooth-coloured. You may have a slight lisp for the first few days while your tongue adjusts. Many of our patients wear aligners through client meetings, presentations and weddings without others realising.

A traditional bridge usually takes two appointments around two to three weeks apart: one to prepare the teeth and fit a temporary, and one to fit the final bridge. An implant-supported bridge takes longer, because the implants need three to six months to heal before the bridge is made.

You take the aligners out to eat and to drink anything other than plain water, then brush or rinse before putting them back. Hot drinks can warp the plastic, and sugary or acidic drinks trapped under the trays raise the risk of decay. Most patients settle into a routine of fewer snacks and set mealtimes within a week or two.

Invisalign grades providers by the number of cases they treat. Diamond II places Dr Vishal Patel in the top 1% of UK Invisalign providers. It reflects experience and volume rather than a quality award, but that experience shapes planning: knowing which movements are realistic, when refinements are likely and when another approach would serve you better.

Neither is better for everyone. An implant leaves the neighbouring teeth untouched and helps preserve bone, but needs surgery and healing time. A bridge avoids surgery and is quicker, and suits cases where the neighbouring teeth already need crowns. We compare both against your own mouth at consultation.

Yes. Orthodontic consultations, including Invisalign, are free at Dental & Wellness London. Dr Vishal Patel examines your teeth and bite, takes an iTero scan and shows you a ClinCheck preview of the planned movement. If you have not had a recent check-up, we may suggest a dental examination (£65) so any decay or gum problems are treated first.

At our Islington clinic, Invisalign Express costs £2,200, Moderate £3,400 and Unlimited £4,500–£4,900. The consultation, with iTero scan and ClinCheck preview, is free, and your fee is confirmed in a written plan before you commit. Retainers are quoted with the plan, and 0% APR finance over 12 months is available via Tabeo, subject to status.

We are at 222 Essex Road, Islington, London N1 3AP, two minutes from Essex Road station and one stop from Highbury & Islington. Buses 38, 56, 73, 341 and 476 stop nearby, and Angel is a 15–20 minute walk. We are open Monday to Friday, 8am to 7pm (Tuesday from 9am), by appointment.

Yes, often. Grinding is commonly linked to stress and disturbed sleep, so we combine a protective appliance, such as a Davies splint at £495, with attention to habits and stress. Somatic coaching and mindfulness are available in the same Islington building for patients who want that support alongside their dental care.

The terms overlap. Holistic dentistry focuses on the whole person: stress, sleep, nutrition and general health. Biological dentistry focuses on materials and technique, such as metal-free fillings and careful amalgam removal. Many clinics, including ours, offer both. Neither is a recognised specialty, so check that your dentist is GDC-registered.

The NHS does not offer holistic dentistry as a distinct service, although NHS dentists do provide preventive advice. Dental & Wellness London is a private practice and does not provide NHS treatment. Our dental examination is £65 for 30 minutes and includes a conversation about your general health, sleep and stress.

At our Islington clinic a 30-minute dental examination with full risk assessment is £65, a 30-minute hygiene appointment is £85, and Diamond hygiene with air polish is £135. Periodontal treatment is £255. A 20-minute discovery call by phone is free, and 0% APR finance over 12 months via Tabeo is available, subject to status.

The core of it is. Prevention, minimally invasive treatment and attention to links such as gum disease and diabetes are mainstream practice. Claims that dental work cures chronic illness are not supported by good evidence. We follow NHS and professional guidance and do not claim that dental treatment causes or cures systemic disease.

Holistic dentistry is dental care that treats the mouth as part of the whole person, considering stress, sleep, diet, medication and general health alongside teeth and gums. Its sensible core is prevention and conservative, explained treatment. At Dental & Wellness London in Islington we practise it as integrative dentistry, with nutritional therapy and coaching in the same building.

The main types are traditional bridges, supported by crowns on the teeth either side; cantilever bridges, supported from one side; resin-bonded (Maryland) bridges, which bond a thin wing to a neighbouring tooth; and implant-supported bridges, which rest on implants rather than natural teeth. The right type depends on your teeth, gums and bite.

Yes. Orthodontic consultations, including Invisalign, are free. The appointment includes an examination, an iTero scan of both arches and a ClinCheck preview of the planned movement. If aligners are not right for your case, we tell you at that visit, and there is no obligation to proceed.

Retainers for both arches are quoted in writing alongside your treatment plan, so the full cost is clear before you start. Most patients wear removable retainers at night long term, and some also have a thin fixed retainer behind the front teeth. We go through the options when you receive your plan.

Bridge costs depend on the type, the number of teeth spanned and the material, so we quote in writing after assessment. The consultation is £65. For comparison, a single implant is from £2,200 including the crown. 0% APR finance over 12 months via Tabeo is available, subject to status.

Usually, because more teeth are moving and the bite is often part of the plan. Moderate dual-arch cases commonly take many months, and Unlimited cases can take eighteen months or longer. Wearing aligners for 20 to 22 hours a day, and any elastics as instructed, keeps treatment on schedule.

No. We place each case on one of three plans according to its complexity, rather than adding two arch prices together. A simple both-arch case may sit on the same plan as a more involved one-arch case. Your ClinCheck shows the planned movement, and the written plan confirms the fee.

Assessments take place at Dental & Wellness London, 222 Essex Road, Islington, London N1 3AP, two minutes from Essex Road station. Buses 38, 56, 73, 341 and 476 stop nearby, and Angel is a 15–20 minute walk. Dr Rishil Patel reviews your scan and explains the options in writing.

Because the upper and lower teeth work together. If the bite needs correcting, both arches must move. Crowding in one arch is often matched in the other, and many people want the whole smile to look consistent. Treating both arches together lets us plan the alignment and the bite as one case.

Yes, occasionally. Some or all of the graft may not integrate, most often because of infection, smoking or movement of the material during healing. Careful planning, treating gum disease first and avoiding smoking reduce the risk. A failed graft can often be repeated once the area has healed.