Questions answered

Everything you need to know about preparing for your visit, our treatments, and how our clinic operates.
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Is the Invisalign consultation really free?

Dental

Yes. Orthodontic consultations, including Invisalign, are free at Dental & Wellness London. The appointment includes an examination, an iTero digital scan and a ClinCheck preview of the planned tooth movement. You leave with an honest view of whether aligners suit you and, if they do, a written plan with the fee.

Who will plan and carry out my Invisalign treatment?

Dental

Dr Vishal Patel plans and delivers every Invisalign case here, from the first scan to the final retainer check. He is an Invisalign Diamond II provider, in the top 1% of UK Invisalign providers, with an MSc in Aesthetic & Restorative Dentistry and GDC registration 103127. You see the same clinician at every review.

What does a dental hygienist do?

Dental

A dental hygienist assesses the health of your gums, removes plaque and hardened calculus above and below the gumline, polishes away stain and shows you how to clean effectively at home. Their main purpose is to prevent and treat gum disease, which is common, often painless and a leading cause of tooth loss in adults.

Where is your Invisalign practice in Islington?

Dental

We are at 222 Essex Road, Islington, London N1 3AP, two minutes' walk from Essex Road station. Buses 38, 56, 73, 341 and 476 stop nearby, and Angel is a 15–20 minute walk. The practice has been in the same building since 2009 and is open Monday to Friday, 8am to 7pm (Tuesday from 9am), by appointment.

Where can I get a crown fitted near Angel or Highbury?

Dental

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

Is cheaper mail-order aligner treatment worth it?

Dental

Mail-order aligners remove the in-person examination, gum check and supervision that keep aligner treatment safe and predictable. On a very simple case that may not matter; on anything needing judgement it can lead to problems that cost more to correct. We recommend supervised treatment, and explain the trade-offs honestly at consultation.

What happened to Invisalign Lite and Comprehensive?

Dental

We now use three plans: Express, Moderate and Unlimited. Cases once described as Lite usually fall within Express or Moderate, and those described as Comprehensive or five-year plans usually fall within Unlimited, at £4,500–£4,900. Your ClinCheck confirms which plan applies to your teeth.

Do you replace old metal fillings with inlays or onlays?

Dental

Yes, where an old amalgam filling has failed, cracked or is undermining the tooth, we can replace it with a ceramic inlay or onlay. We assess each filling individually; a sound filling with no decay beneath it does not always need replacing. Your options and fees are set out in a written plan.

Why do Invisalign quotes vary so much?

Dental

Quotes differ because cases differ: how far teeth need to move, whether one or both arches are treated, and whether refinements are needed. They also differ in what they include, such as reviews, enamel shaping and retainers. Asking what each fee covers is the only way to compare quotes fairly.

Can I spread the cost of Invisalign?

Dental

Yes. We offer 0% APR finance over 12 months via Tabeo, subject to status. That spreads the full fee for any plan into twelve equal monthly payments. The total is confirmed in writing with your treatment plan, and you can take it home to consider before booking.

Can a cracked tooth be saved with an onlay?

Dental

Often, yes. If the crack has not reached the root, an onlay can hold the cusps together and protect the tooth from splitting further, with less preparation than a crown. If the crack is extensive, a full crown may be needed. A crack extending into the root usually means the tooth cannot be saved.

Is the Invisalign consultation free?

Dental

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

How much is Invisalign in London?

Dental

London fees vary, so compare what each quote includes as well as the headline figure. At our practice on Essex Road, Islington, our three plans are Express £2,200, Moderate £3,400 and Unlimited £4,500–£4,900. Your written plan sets out what the fee covers, with retainers quoted alongside it, before treatment begins.

How much does Invisalign cost in the UK?

Dental

Prices vary between clinics and with the complexity of the case. At Dental & Wellness London, Invisalign Express is £2,200, Moderate is £3,400 and Unlimited is £4,500–£4,900. The consultation, including an iTero scan and ClinCheck preview, is free, so you know which plan applies and what it includes before you commit.

Can I combine a hygiene visit with my check-up?

Dental

Yes. Many patients book their dental examination and hygiene appointment on the same day to save a second trip to Essex Road. The examination is £65 and the hygiene appointment is £85, each lasting 30 minutes. Call 020 8127 4567 and we will arrange them back to back.

What happens if the hygienist finds gum disease?

Dental

We explain what we found in plain terms and recommend periodontal charting, which is £195, to measure every tooth and set a baseline. Periodontal treatment is £255 per appointment, usually over a short course. Early gum disease often responds well to treatment and better home care, though results vary.

Which is better, an Emax crown or a porcelain-bonded crown?

Dental

Both are reliable. An Emax crown is all ceramic, with natural translucency and no metal, so it suits front teeth and visible back teeth. A porcelain-bonded crown has a metal core and remains a strong option under heavy biting forces, although a thin dark line can sometimes show at the gum. We recommend one based on the tooth and your bite.

How long do crowns and onlays last?

Dental

Well-made ceramic crowns, onlays and inlays commonly last ten to fifteen years, and many last longer. How long yours lasts depends on the health of the tooth underneath, your bite, any grinding, your diet and how well the margins are kept clean. Results vary, and regular examinations help us spot problems early.

What is the difference between an inlay, an onlay and a crown?

Dental

An inlay sits inside the tooth between the cusps, replacing a cavity. An onlay replaces part of the biting surface, including one or more cusps. A crown covers the whole visible tooth. The more of the tooth that is damaged, the more coverage it needs; we choose the smallest restoration that will reliably protect it.

How much is a dental crown in Islington?

Dental

At Dental & Wellness London on Essex Road, a porcelain-bonded crown is £950 and a full-ceramic Emax crown is up to £1,200. Ceramic onlays are £850 and inlays £750. The temporary restoration between visits is included. We give you a written plan after assessment, and 0% APR finance over 12 months via Tabeo is available, subject to status.

Where is your cosmetic dentist in Islington?

Dental

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 15 to 20 minutes on foot. We are open Monday to Friday, 8am to 7pm (Tuesday from 9am), by appointment.

Do you offer cosmetic dentistry on the NHS?

Dental

No. Dental & Wellness London is a private practice and does not provide NHS treatment. Purely cosmetic treatment such as whitening, bonding for appearance and veneers is generally not available on the NHS in any case. Our fees are published and confirmed in writing before treatment, with 0% APR finance over 12 months via Tabeo available, subject to status.

How long does cosmetic dental treatment take?

Dental

Whitening takes around two weeks with home trays, and bonding is usually completed in one visit. Porcelain veneers typically need two or three appointments over a few weeks. Where alignment comes first, Invisalign can take from a few months to over a year depending on the case. Your written plan sets out the expected timeline.

What is smile design?

Dental

Smile design is the planning stage of cosmetic dentistry. We assess tooth shape, proportion, colour and position against your lips, face and the way you speak and smile, then plan the most conservative sequence of treatment to achieve the change. Larger cases may include a mock-up so you can preview the proposed shape before committing.

Should I straighten my teeth before veneers or bonding?

Dental

Often, yes. If teeth are crowded or rotated, veneers or bonding have to be built thicker to disguise their position. Straightening first with clear aligners usually means less tooth is prepared, less material is needed and the result looks more natural. Dr Vishal Patel is an Invisalign Diamond II provider and will discuss this at consultation.