Our Treatments

Enquiries / Appointments +44 (0)20 7935 5354
info@38devonshirestreet.co.uk

OUR
TREATMENTS
GENERAL & FAMILY DENTISTRY

38 Devonshire Street has long been established as a family practice. It is our privilege to see patients of all ages from the very youngest to those advanced in age.

We offer general and family dentistry of the highest quality, supported by our on site team of specialist dentists providing state-of-the-art treatment ranging from orthodontics to implants.

Our treatment is individually tailored to suit your needs and guided by our philosophy of minimally invasive dentistry and prevention. Our aim is to understand your dental needs, to treat existing problems as appropriate, and provide the highest quality ongoing care and management to maintain beautiful teeth for life;

General dentistry including check-ups, fillings, and crowns.

Specialists in orthodontics, cosmetic treatment, treatment of gum disease, root canal treatment, dental implants and reconstruction of damaged teeth.
State-of-the-art treatment and technology including ‘invisible’ brace systems, titanium implants, and tooth whitening.

CHILDREN’S DENTISTRY

It is our aim that every patient of 38 Devonshire Street should have a sound, healthy, beautiful smile and be treated in a caring, gentle environment where a visit to the dentist is something to look forward to.

Children are highly susceptible to dental decay, and our aim to deliver a child into adulthood with sound teeth requires active prevention from the outset.

Regular visits to the dentist are essential in the identification and treatment of any problems at an early stage, whether caused by disease or development. We recommend that all children from the age of 2 years should attend for examination every 6 months. We guide parents or young children with regard to good cleaning and dietary habits and provide any necessary support in this.

As a child grows, they gradually take responsibility for their own dental hygiene. We recommend that all children should see a hygienist twice a year from the stage where the adult teeth start to appear (approximately 6 years) to help reinforce good preventative habits.

Custom-made sports’ mouth-guards which are both colourful and comfortable can be made on request.

RESTORATIVE AND COSMETIC DENTISTRY

The restoration of appearance and function to damaged teeth and the enhancement of natural beauty in relatively undamaged teeth using minimally invasive techniques.

Restoration of Damaged Teeth
At 38 Devonshire Street we take the time and care to preserve as much sound tooth structure and as many teeth as possible. When a patient presents with a very badly broken tooth or teeth, we begin with a full analysis of both the cause and the extent of the problem, looking at individual teeth as well as how they function together. An overall plan is then discussed and agreed. Each element of restorative dentistry is undertaken with great care and attention to detail. Our master dental technicians are involved where appropriate and bespoke treatment is recommended to meet the needs of each individual patient. Our philosophy is to preserve natural teeth and structure where possible.

Cosmetic Dentistry – Enhancing Natural Beauty
Every smile is unique to each individual and personality. A beautiful smile has a natural quality that says it has always been there; it does not draw undue attention to itself. It lights up that person’s face and provides an insight into their very being. A beautiful smile is one of the best personal investments that can be made. Its effects are far-reaching and very powerful in terms of the sense of wellbeing and confidence it offers.

At 38 Devonshire Street we employ the latest minimally invasive techniques and the expertise of our specialist team and master technicians. We will listen to your thoughts and needs carefully and design a treatment plan to deliver a result that will delight you.

ORTHODONTICS

Orthodontics
Orthodontics is the speciality which treats the position of the teeth and the balance between upper and lower teeth within the face. Tooth position determines the support for the soft tissues of the face, i.e. lips and cheeks and the effectiveness of chewing. The maintenance of healthy teeth for life is much easier when the teeth are straight. Crooked and crowded teeth later in life have an ageing effect. Straighter teeth are associated with younger faces.

Orthodontics for Children
The majority of children who need orthodontics will commence their treatment between the ages of 11 and 13. The exact timing is determined by individual development.

Orthodontics in some cases is started in childhood before the age of 10 where facial development and growth can be harnessed to optimise the balance of the face in situations where there is a mismatch between the relative size or shape of the jaws. Where crowding is severe, early intervention can be used to shape the arches and avoid the need for extraction of sound adult teeth.

Orthodontics for Adults
There is no upper age limit for adult orthodontic treatment. Many adults see it as a non-invasive way to bring about huge improvements to the smile and with that comes confidence and an altogether younger look. Issues with the way the teeth bite together can also be improved with careful orthodontics leading to improved function and often reducing the risk of chipping and wear.

There are many kinds of brace system that can be used from fixed brackets to the virtually invisible Invisalign system.

Invisalign can be used in many adult cases and can be particularly useful where the patient does not wish to announce or discuss with friends and colleagues the personal choice they have made to straighten their teeth. Invisalign can be used successfully in some surprisingly severe cases along with those where movement is minimal. Minor alterations in tooth position can make a surprising difference to the overall appearance of the teeth and are always worth contemplating. Major improvements in tooth position can be life transforming.

 

IMPLANT DENTISTRY

Missing teeth affect confidence, ability to smile freely and the ability to eat.

A dental Implant is a small titanium post which acts as a replacement tooth root when a whole single tooth, multiple teeth or all teeth are missing. Implants are placed gently and precisely into the bone of the upper or lower jaw. The bone will then ‘grow around’ and ‘fuse onto’ the Implant (a process known as osseo-integration) to form a strong foundation onto which the final teeth are secured.

The healing and maturation time after placement is in the region of 4 months and temporary restorations can be fitted during this time for your comfort and confidence. Once the Implant/s has successfully matured, a short series of non-surgical appointments is required to construct the final restorations.
Each situation needs to be assessed fully and individually. The key to success with dental implants is attention to detail in both the planning and treatment phases.

PERIODONTICS (GUM TREATMENT)

Periodontology is the speciality which deals with the diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth. Disease of the gums is linked to many general health problems.

Early diagnosis and treatment of gum disease is vital to prevent tooth loss and assist in the maintenance of general health. All periodontal techniques are founded on the basis of excellent and ongoing prevention if they are to be successful. The management of periodontal problems, which are often both genetically and environmentally determined, is critical if damage is to be minimised through life and teeth are to be retained long-term.

As well as the treatment and prevention of periodontal disease, we also offer the latest grafting and plastic surgery techniques to treat unsightly gum problem.

ENDODONTICS (ROOT CANAL TREATMENT)

A root canal is needed when the pulp (the soft tissue inside the tooth normally containing nerves and blood vessels) becomes inflamed or infected often as a result of injury or trauma, deep decay, large fillings, cracking or fracture.

Root canal treatment becomes necessary when the pulp becomes inflamed or dies. With effective local anaesthetic, root canal treatment is a painless procedure. It is a very important procedure as it determines the comfort of the tooth and preserves the foundation of the tooth saving it from extraction.

A root canal specialist is familiar with the accurate diagnosis of pain and will interpret the symptoms, the radiographs and use cone beam CT scans (where necessary) to obtain a precise diagnosis prior to treatment. He/she is familiar with the nuances of all of the various techniques available to treat the problem.

PREVENTATIVE DENTISTRY

Teeth are very special structures which work exceptionally hard throughout life. They handle extreme forces and the hostile environment of the mouth including food of different acidities and temperatures. They have no integral ability to regenerate or repair.

Dental disease can and should be prevented throughout life and a good prevention programme is essential for patients of all ages. One or two visits to the dentist each year is recommended so that any problems are identified at an early stage in combination with at least 2 or 3 visits to the dental hygienist. This has been shown in studies to reduce the amount of dental treatment required in a patient’s lifetime whilst giving the best chance of preserving teeth for life.

Specific advice about diet, oral hygiene techniques appropriate to your mouth and the use of fluoride will be given at every examination and hygiene visit.

There are certain stages of life where a patient becomes more susceptible to problems. These include during pregnancy, times of stress and chronic illness, and during the active phases of orthodontic treatment. At these times your individual prevention programme should be tightened.

We will be very pleased to suggest an individual prevention plan appropriate to your needs.

TOOTH WHITENING

Enlighten Evolution Whitening at 38 Devonshire Street – Recommended by our dentists
Coffee, tea, smoking and wine – these are just a few of life’s little pleasures that can stain your teeth over time and leave you feeling less attractive. Whitening is one of the best ways to non-invasively improve the appearance of your teeth. Often patients are unhappy with the colour of their teeth; particularly as they get older.

At 38 Devonshire Street, we are pleased to recommend the Enlighten Evolution system as the most effective and safe way to improve your smile. Results begin to appear after only a few days.

It is the only system in the world to guarantee that the teeth will get to a VITA shade B1 – the whitest shade on a dentist shade guide.

How Does It Work?
Enlighten Evolution Whitening works by increasing the tooth’s permeability to oxygen which in turn breaks down stain molecules. It is a combination treatment starting with a consultation with one of our dental hygienists who will explain the full treatment course and take impressions. At your second appointment you will be given your custom fitting Super Seal trays. These have a double-layer for exceptional fit and are unique to the Enlighten Evolution system. You wear the Super Seal trays 4 to 8 hours a day for 2 weeks, and then return to 38 Devonshire Street for the final treatment at the surgery.

How Long Does It Take?
Two weeks following collection of your custom-fitting Super Seal Enlighten Whitening trays. These bespoke trays are thin and comfortable and must be worn in bed for 14 nights.

Is there any pain or discomfort?
The treatment is pain-free. Occasionally some patients experience some sensitivity, however, when you collect your trays the 38 Devonshire Street Clinician will give you some desensitising swabs to take home which work immediately. You will also receive a tube of Tooth Serum Toothpaste by Enlighten to brush with; this also helps with sensitivity if you experience it.

How White Will My Teeth Get?
Enlighten Evolution Whitening can whiten teeth up to 16 shades. Results vary but if used correctly all natural teeth will whiten dramatically.

What if I Have Crowns, Veneers or white Fillings?
Crowns or fillings will not whiten. At the initial consultation our dental hygienist or dentist will examine your mouth and advise as appropriate. It may be possible to replace crowns of fillings with a whiter shade to match your newly whitened teeth.

How long will the results last?
With some simple maintenance the whitening can last indefinitely. Wearing the trays one night a month combined with continuing use of Tooth Serum will keep your teeth looking healthy and white.

Is it safe?
Enlightening Evolution Tooth Whitening is completely safe and recommended by our dentists. The materials used in the programme have been used in Dentistry for over 100 years.

What is the cost?
The complete course of treatment costs £750 with no hidden extras. This includes an initial consultation with one of our dental hygienists, your custom whitening kit, a final one hour treatment by our dental hygienist, and free advice and follow-up.

Can I spread the cost of the treatment?
Of course; 38 Devonshire Street offers 0% Finance allowing you to spread the cost over 6 to 24 months. Subject to status. Terms and conditions apply. To book a whitening consultation or to speak to a member of the team about the treatment do not hesitate to call us on +44 (0)20 7935 5354.

ORAL HYGIENE

Why see a dental hygienist?

At 38 Devonshire Street we are committed to prevention of dental disease. Regular treatment with the dental hygienist goes a long way to achieving this aim, whilst keeping your mouth feeling and looking healthy, comfortable and your breath fresh.

What does a visit to the 38 Devonshire Street dental hygienist do for you?

  • You will be shown how to fine tune your oral hygiene technique to prevent bad habits from creeping in
  • Your technique will be checked to make sure it is as effective as possible (it takes just as long to clean your teeth badly as it does to clean them well)
  • Your teeth will be thoroughly and deeply cleaned to remove all deposits of scale, plaque and stain
  • Your teeth will be polished to ensure that they both look and feel fantastic
  • Your teeth and gums will be screened for early signs of gum disease or tooth decay

So what do you gain by regularly attending the hygienist?

You gain the feeling of truly, clean, healthy teeth, the confidence that my breath is fresh and the knowledge that over your lifetime the amount of active treatment you will require will be much reduced.

Call 38 Devonshire Street on 020 7935 5354 to book your appointment with one of our dental hygienists.

How often should you see a hygienist?

The answer to that question varies according to you – your level of oral hygiene, your genetic predisposition to decay or gum disease and any other habits you may have.

As a general rule, the interval that is shown by studies to be optimal is:

  • 6 Monthly – if you have perfect, un-restored, un-crowded dentition with no susceptibility to gum disease
  • 4 Monthly – if your mouth has fillings or crowns or a history of any dental disease
  • 2-3 Monthly – if you show high susceptibility due to dental disease. This could be due to; your dental history, genetics, dry mouth, pregnancy, active orthodontics, or where teeth have been lost and replaced with implants or there are crowns, bridges or dentures present

How often should your child see the hygienist?

Children show greater susceptibility to both dental decay and inflamed gums and are forming habits which will remain with them for a lifetime. The correct interval for them is therefore between 4-6 months, or 3 monthly if they are wearing a brace.

Same Day Appointments

Whilst we all like to plan in advance there are times when we can’t – our team of dental hygienists are always on hand when you need them. If you have got an important pitch the next day, or if you need to feel your best for a social occasion in the evening, call to arrange a same day hygiene treatment at 38 Devonshire Street. Dedicated appointment slots are available in both the morning, afternoon and evening.

Our comprehensive hygiene treatment takes 45 minutes and costs £125 for adults and 30 minutes and £105 for children.

Our hygienists are available five days a week:

  • Monday, Thursday, Friday until 17.30
  • Tuesday & Wednesday until 20.00
Direct Access - No need for a prescription

Following recent changes in legislation, you are now able to book treatments with one of our dental hygienists without a dentist’s prescription. Therefore if you are only in London for a short while, its never been easier to book an appointment.

Our comprehensive hygiene treatment takes 45 minutes and costs £125 for adults and 30 minutes and £105 for children. Meet the team here.

We are open:

  • Monday, Thursday, Friday 8.30 – 17.30
  • Tuesday & Wednesday 08.30 – 20.00

FEES

We will discuss our treatment recommendations and any related costs with you in an open way
Estimates will always be given either verbally or in writing depending on the complexity of the treatment required. A written estimate is always available on request

Payment Policy and Methods
Payment is required on the day of your appointment and will cover the charges for consultation and any treatment in progress
We accept Visa, Mastercard and American Express credit cards, debit cards, personal cheques and cash

New Patient Consultations Price list from 1 May 2018
Comprehensive New Patient Examination £160/£150 (plus x-rays/photographs)
Comprehensive NP Examination with Principal £195 (plus x-rays/photographs)
Specialist Consultation £195 (plus x-rays/photographs)
Routine Dental Examinations & Treatments
Routine Dental Examination (Adult or Child) £150 (plus x-rays/photographs)
Routine Adult Dental Examination with Principal Dentist £185 (plus x-rays/photographs)
Routine Child** Dental Examination with Principal Dentist £155 (plus x-rays/photographs)
Adult Hygiene Treatment (45 minutes) £125
Child** Hygiene Treatment (30 minutes) £105
1 Hour Hygiene Treatment £170
Fillings from £255
Extractions from £75 to £500
Fissure sealants £75
Tooth Whitening £750
Implant placement from £1950 per fixture
Implant restoration (inc. abutment) from £2100
Crowns and Bridges from £1850
Root Canal Treatment from £800
Orthodontic Treatment from £5000 (two arches)
Out Of Hours Emergency Appointment from £275 (plus any work needed)
** Child = Under 18 years old