Oral & Maxilofacial Surgery

We provide the full range of oral surgery procedures. These include extractions, surgical removal of teeth, wisdom teeth, impacted teeth, expose and bonding of unerupted teeth, jaw and dental cysts, apecectomies, bone grafts and sinus lifts to the jaws for dental implants. We liaise very closely with your dentist regarding what you need and endeavour to keep both your dentist and doctor informed of your progress, unless requested otherwise.

 

During your consultation, we will evaluate your problems and inform you of the ideal treatment plan. If you wish to proceed, you will let us know and we will arrange a time and date for the procedure. We offer the procedures either under local or general anaesthetic at one of our locations in North or Central London.

If you do not have a medical insurance, and you are paying yourself, contact us to enquire about costs.

 

TMJ pain problems - Temporomandibular (jaw) Joint

 

We offer a comprehensive management to temporomandibular joint (TMJ) problems. The management could be conservative, medical, or surgical depending on the diagnosis. Most patients present to us with pain in and around the joint, the ear, the jaw, or often with neck pain and headaches or with clicks and noises in the jaw joints. A thorough consultation is required to determine the cause and as to whether the treatment is best served medically or surgically with an arthrocentesis (wash-out) or open TMJ surgery. Cross speciality consultation with neurology, ENT and radiology colleagues is often required.

 

Salivary Glands Surgery

 

We offer the full scope of service in North and Central London for all salivary gland pathology of the head and neck, including oral, submandibular and parotid gland surgery. We have access to state of the art diagnostic facilities, radiologists, pathologists and, of course, surgical expertise.

Problems with the salivary glands can be either due to a systemic medical problem, perhaps the medication you are taking, or a localised surgical problem such as a stone, stricture, tumour, underlying lymph gland and other lumps that may present in and around the salivary glands.

 

Head and Neck Pathology

 

A great variety of problems can arise in the face, jaws, mouth, salivary glands, neck and thyroid that need differentiation and appropriate management. Again, we treat these with an integrated group of experts depending upon what the problem is.

At the consultation phase we can advise you the nature of a problem you may have, order the appropriate investigations, and finally advise you of the treatment options.

 

Oral Medicine

 

We manage the full range of mouth, mucosal and tongue problems that may require medical and not surgical treatment, although a biopsy is occasionally necessary.

Some of these problems are limited to the mouth and include conditions such as aphthous ulcers, lichen planus and fungal infections. Others involve both the mouth and other distant areas of the body such as endocrine glands, the cells in the blood stream, the bowels or the immune system. Examples of these are Crohn's disease and Ulcerative Colitis, Pemphigus and Pemphigoid, various anaemias and many others. Sore mouth and sore tongue syndromes also present and need an examination to exclude any underlying systemic problems. These problems require investigation to exclude or to diagnose an underlying medical problem. Cross speciality referrals to other experts may therefore be required within London.

 

Facial Trauma

 

We cover all injuries of the face, orbits, jaws, mouth, nose and teeth both immediately and delayed. We are part of the largest maxillofacial trauma service in North London at the Regional North West London Maxillofacial Unit in Northwick Park and St Mark's Hospitals, serving a population of around 2 million, routinely taking referrals from all other hospitals in North West London, and beyond, including Hertfordshire and Buckinghamshire and also private patients from overseas. The private facilities for treatment of facial trauma are via Trust Plus' private wards at Northwick Park and St Mark's hospitals.

 

We offer not only excellent surgical expertise, but also excellent Intensive Care and theatre support and the latest radiographic and maxillofacial laboratory facilities.

We also treat facial deformities secondary to previous trauma. These are both hard tissue (bone) problems and soft tissue problems, such as scars that may require scar revision surgery.

 

Skin Cancer, Lumps & Bumps on the Head, Face & Neck - Surgical Treatment

 

We treat the full range of skin cancers. If you have a skin lesion that concerns you, we would be glad to see you for a consultation with a view to possible biopsy & histopathological diagnosis and/or surgical removal. You can also see your GP or a dermatologist, or present directly to us, especially if it is something you would want biopsied or surgically removed.

In terms of skin cancer, we deal with the management of Basal Cell Carcinomas (Rodent Ulcers), Squamous Cell Carcinomas and Melanomas of the head, face and neck. We excise and reconstruct these with primary closure, skin grafts or flaps. We are part of a hospital Multidisciplinary Skin Cancer Team (MDT) and all cancer cases are discussed with the dermatology, pathology and oncology colleagues for their optimal management.

We also address other 'lumps and bumps' of the skin and head & neck that are not necessarily malignant (cancerous), but are still a concern to you, such as moles and sebaceous cysts.

For a consultation in North or Central London, please contact our secretary. If you do not have private insurance she will be able to let you know of the cost involved.