Treatments Offered

Available in a small number of highly respected dental practices in Cheshire, Greater Manchester, and Lancashire.

Oral Surgery

Oral surgery procedures performed include:

  • Removal of wisdom teeth
  • Removal of difficult or impacted teeth
  • Removal of tooth roots
  • Exposure of teeth as part of orthodontic treatment
  • Cosmetic gum treatment (including ‘crown lengthening’)
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Dental Implants

A dental implant is a small titanium fixture which acts like an artificial tooth root. When the implant is placed into the jaw, the bone surrounding it grows onto the surface of the implant as it heals. This process takes several months to complete, though after this time the implant is considered to be ‘integrated’, and the bond between the implant and the bone is strong enough for the artificial tooth to be fixed to the implant.

Once integrated, a single implant can support a single porcelain crown, or multiple implants can support multiple connected crowns (also known as a bridge). Implants can therefore replace anything from a single missing tooth to all of your teeth.

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Intravenous Sedation

James is very experienced with the use of sedation, which is very helpful for people who wish to have dental implants but are perhaps a little fearful of sitting through the actual treatment.

Read more in the Nervous Patients section below to find out more and whether it might be for you.

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Implant-Retained Dentures

The days of removing and cleaning dentures are all but gone.

Unrivalled Support

When patients think about dentures they sometimes automatically picture big false sets of teeth that need to be taken out and placed in water overnight in a glass at the side of their bed. However, times have changed and thanks to implant-retained dentures, the days of removing and cleaning dentures are all but gone. Implant-retained dentures are the most advanced form of denture – they are anchored by dental implants and provide unrivalled structural support.

What is the difference?

Normal dentures are held in place by creating suction against the gums, whereas implant-retained dentures are supported by the permanent fixture of dental implants. This has a range of benefits for the patient and they can be used to support both partial and complete dentures.

What are the advantages of implant-retained dentures?

The combination of dentures and implants helps to address many of the problems associated with wearing dentures.

Am I suitable for treatment?

If you have missing teeth and would like to enjoy the best possible aesthetics and function, implant-retained dentures may be an ideal solution. They are generally recommended for people who have good oral health and non-smokers. James will be able to advise if you are an appropriate candidate or recommend a suitable alternative.

Alternatives to dental implants:

Dental implants have quite simply revolutionized the way dentists can replace missing teeth. Other methods such as those described below can be successful though generally have a downside.

Leaving a Gap

Whilst not everybody will wish to replace a missing tooth, there can be side effects to not doing so. Reducing the number of teeth present can place extra pressure on the remaining teeth which may cause them to fracture or become loose over time. Chewing function may be reduced and the appearance of your smile can be affected. Lastly, any teeth next to or opposite the gap may slowly move or grow into the space, which can disturb the precise way in which the upper and lower teeth move over each other when chewing and talking.


Even when well made, some people find dentures difficult to tolerate. They can feel like quite a mouthful, and if they move around when eating and speaking they can be extremely uncomfortable as they rub over the gum tissue in the mouth. Dentures are often very useful however as a temporary or emergency way of replacing missing teeth when necessary.

Adhesive Bridge

A bridge relies on support from the adjacent teeth. An adhesive bridge is attached to the teeth next to the gap by resin. This means that minimal preparation of the adjacent teeth is required, though the bridge is only as strong as the bond between it and the teeth and they may occasionally come off (or ‘debond’).

Conventional Bridge

With a conventional bridge the adjacent teeth are reduced in size with precise drilling as if they are to be crowned. The bridge is much stronger than an adhesive bridge and very rarely debond. However, the drilling required may in approximately 12-15% of cases cause problems with the nerve inside the tooth and root canal may be required either immediately or years later.

With implants supporting the denture and holding it firmly in place with small connectors similar to a press stud on a coat, there is very little (if any) movement of the denture. This is even when eating harder foods which may not have even been possible with conventional dentures.

Since there is no movement, the denture cannot rub against the gums. This rubbing commonly causes pain as sores develop from years of friction.

Implant retained dentures can be made to be to feel much more natural than conventional dentures. Since they do not rely on suction to stay in place, they can be made to be smaller and upper implant retained overdentures are made in a horse-shoe shape rather than the traditional bigger dentures which need to cover the whole of the palate. Not only does this feel much more like having your own natural teeth, it also means that they will not make you gag or retch.

Interested in Implant Retained Dentures?

James will be happy to discuss dentures with in more detail and give you advice about the best route for your treatment.

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Contact James for more information

If you have any questions or would like to book an appointment please get in touch.

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