We’re Open!

All three of our practices are open.

We look forward to welcoming our existing and new patients!

If you must contact us for an orthodontic emergency or appointment enquiry please email us at the addresses below.

reception@wimbledon-orthodontist.co.uk

18 Tabor Grove, Wimbledon,
London, SW19 4EB

kingstonreception@thefabuloussmilecompany.co.uk

31 Tolworth Broadway,
Tolworth, KT6 7DJ

mertonreception@thefabuloussmilecompany.co.uk

18 South Lodge Avenue,
Pollards Hill, CR4 1LU

BEFORE YOU CONTACT US:

  • Please use email, do not phone us. We need to keep our phone lines free to help those with urgent problems.
  • Before contacting us, please review the FAQs and Care Guides at the bottom of the page. There is a lot of information and advice there which may help you with any concerns and queries until we can see you.
  • Please be patient and wait for us to contact you with regard to your next appointment. We will contact you to rebook your appointment based on urgency of need as soon as possible.
  • We’re a small team and experiencing a high number of enquiries, but we promise we will get back to you as soon as we can.

Dentists can make referrals at the link below

MAKE SURE TO INCLUDE IN YOUR EMAIL:

  • Your full Name/Patient name and Date of Birth
  • A brief description of the concern
  • A preferred contact telephone number
  • Name of treating clinician

COVID-19 PROTOCOLS:

We have made many changes to our protocols for seeing patients – all carefully designed to help keep you safe and reduce the risk of Covid-19 transmission to you, your families and our staff.

  • You will receive a questionnaire by e-mail to check your medical history, help us to assess the condition of your orthodontic appliance and check for other issues.
  • If you are in a shielded group, we will place you on a pending list until it is safe for you to attend the practice. Please make it clear when you are contacted if you or a member of your household are in this category so we may schedule your appointment most appropriately.
  • Please do not attend the practice without an appointment.
  • Some types of appointment will now be conducted by telephone or online. We will let you know if this is an option for you.
  • To help maintain social distancing only the patient will be allowed in the practice. If the appointment is for your son or daughter ¬– please contact us if you need to attend with your child. You are welcome to request a call to discuss the appointment with the treating clinician.
  • Please be aware that we will not be able to offer the full range of treatments in the first instance. Many of the treatments we usually provide are defined as aerosol generating treatments (AGP), and we need to avoid producing an aerosol until it is safe to do so. This may mean changing techniques and delaying certain procedures for the time being.
  • All team members will be screened daily prior to starting their shifts.
  • Please be understanding of the fact that there is a higher than usual chance of last-minute cancellation of appointments. This is due to the current unpredictable circumstances with regard to supply of PPE and staffing availability (due to requirements for self-isolation based on government advice).
  • Remember, everyone’s safety is our top priority!

Thank you also for your understanding and messages of support during this time. They are much appreciated.

We are very much looking forward to seeing you all again as soon as we can.
Sue Bennett, Clare Insall, Riz Parbatani and Associates

Guidance on going to the Orthodontist During the Covid-19 Pandemic from the British Orthodontic Society

FAQ’S AND GUIDANCE ABOUT ORTHODONTIC EMERGENCIES

IF YOU ARE A PATIENT AND YOU ARE EXPERIENCING PROBLEMS WITH YOUR BRACE[S]
BEST ADVICE IS TO AVOID ALL BUT THE MOST ESSENTIAL MOUTH PROCEDURES TO LIMIT SPREAD OF COVID -19 TO THE WIDER POPULATION.

This guide will help you manage your treatment until you can see your orthodontist again, safely.

Be reassured that most orthodontic braces can be left in situ for some months without detriment to you, if you, the patient, continue with the usual after care instructions.
This means that, throughout this period and after, whether you are a patient in fixed braces, removable braces, retainers, or Invisalign aligners you should ensure you continue to

  1. MAINTAIN EXEMPLARY ORAL HYGIENE- brush 3 times a day [after meals] with your standard toothbrush, followed by your interproximal brush[es] in tandem with your Waterpik, [if you have one]. Also use a fluoride mouthrinse eg. Fluoriguard (225ppm), once a day.
  2. FOLLOW A LOW SUGAR DIET – Where possible avoid all snacking on sugars and drinks with ADDED SUGAR. Fizzy drinks should especially be avoided.
  3. AVOID HARD, STICKY AND HARD FOODSTUFFS that could break off your brackets [debond] from your tooth/teeth, fracture your archwire[s] or damage any temporary dental cement which is there to keep your teeth apart.

THE FOLLOWING PAGES LIST COMMON ‘EMERGENCY’ BRACE FAQ’S

PLEASE TRY THESE INSTRUCTIONS FIRST BEFORE EMAILING THE PRACTICE.

Find simple home advice by topic in the FAQ’s below

FAQ’S 1-18 FIXED BRACES

  • You will probably not need to contact us for an appointment. Try the following first:

    1. If your wire is thin and flexible, it is usually possible for you, the patient or a family member to use Tweezers to either replace your wire in the tube/band it has dislodged from, or if not, to use tweezers and a nail clipper/scissors to shorten the long end.
    2. If your thin wire has rotated round the teeth so that it is short on one side and long on the other, it is usually possible to push the wire back round to prevent the long end digging in. Try using Tweezers or a pencil with a rubber on the end, or a teaspoon first
    3. Only Email us if you can’t do this, or the wire is very thick and stiff as it may not be possible for you to cut the wire with home instruments.  We will need a photo.

    In any case, dry the area and cover the wire straightaway to prevent it digging in with Relief Wax Silicone / OrthoDots, or you can buy it online (Orthodontic Wax).

    Failing this, using a wax covering from hard cheese (baby-bell, cheddar), Blue tack or even chewing gum may help.

  • This is not urgent unless it is causing trauma to the soft tissues.

    1. You should accept the situation if itis not causing any
    2. Only consider emailing us , with a photo, if the bracket is causing trauma: itmay be possible to guide you directly as to how to remove the bracket[s] from the wire.
  • You should:

    1. Email us only if your band is very very loose
    2. We may be able to talk you through removal of the band and trimming of the wire depending upon your stage of treatment.
    3. It may also be also be the case that you are simply advised to leave the band in place.

    *If this occurs please ensure you adhere to good oral hygiene and a low sugar diet to prevent decay under the band and around your tooth.

  • This is not urgent. You should:

    1. Accept the situation if itis not causing any
    2. Only consider emailing us , with a photo, if biting down is causing trauma
  • This is not urgent  and you will not need to see us

    1. No treatment is required
    2. Keep the spring[s] safely in an envelope and bring it/them with you for next time if you can
  • This is not urgent  and you will not need to see us

    1. No action is required, take care not to lose anymore
    2. If only one module lost- accept this has happened
    3. If more than one is lost, and on adjacent teeth, try and make length of wire where the modules have been lost secure with dental wax, cheese wax, blu tack or sugar free chewing gum
  • You should :

    1. Wear your elastics at night only during this period
    2. Stop wearing them and email us a photo if your top teeth start to meet behind your lower teeth or

    if your top teeth start to procline too far over your bottom teeth

    1. Email us in good time if you run low or out of elastics, we may either arrange collection from outside the practice entrance or send you more by post if still possible, or if not, we will advise you to stop wearing them altogether.
  • You should:

    1. Wear your elastics every other night only during this period
    2. Stop wearing them and email us a photo if your top teeth start to meet behind your lower teeth or

    if your top teeth start to procline too far over your bottom teeth

    1. Email us in good time if you run low or out of elastics, we may either arrange collection from outside the practice or send you more by post if still possible, or if not, we will advise you to stop wearing them altogether.
  • This is not urgent  and you will not need to see us.

    1. Accept the situation– most powerchain will denature in 4-6 weeks and become passive.
    2. Keep the area around it extra clean
    3. Remove powerchain with Tweezers if necessary and cut the frayed end as short as possible to improve comfort
  • This is not urgent  and you will probably not need to see us. Try the following

    1. Re-tuck the sharp end under wire/bracket using tea spoon or tweezers-the end will mould easily
    2. Remove wire if it is broken with tweezers if possible and cut the frayed end as short as possible to improve comfort with nail cutters or scissors
    3. Cover for comfort using Ortho wax, Cheese wax, Blu tack, chewing gum
  • This is not urgent  and you will not need to see us.

    1. Theseshould be removed at the earliest opportunity
    2. Attemptremoval with the end of safety pin, small paper clip or wooden tooth pick
    3. They will usually fall out in the vast majority of patients
  • You should :

    1. Email us and enclose photo[s].
    2. A clinician may contact you about the nature of the looseness and give you advice.
    3. Push band back onto tooth if it will locate and ensure you adhere to good

    oral hygiene and a low sugar diet to prevent decay under the band and around your tooth.

  • You should:

    1. Email us with a photo and ask for advice
    2. Try to remove all springs or elastic chains attached to the miniscrew[s] with Tweezers yourself
    3. If impossible, you may need an appointment.
  • This is not urgent  and you will not need to see us.

    1. STOP wearing it completely
    2. Let us know this has happened at your next visit
  • You should:

    1. Email us with a photo and ask for urgent advice
  • You probably wont need to see us. Try the following:

    1. If your gold chain was recently placed and is now dangling down, it may be possible to cut it short.
    2. Gold is a soft metal, it may be possible to cut the chain using some nail scissors or nail clippers.
    3. Always hold the loose end with tweezers or similar item.
    4. If possible, leave at least 5 links to show through the gum so it can used later by your orthodontic team
  • This is not urgent, and you will probably not need to see us

    1. Email us, with photo, about the feasibility of removing it at home using nail scissors to prevent a minor infection in the gum.
  • You may need urgent advice and an emergency appointment.

    1. Contact your local hospital team first with any specific concern/problems for the best advice and especially if you have an acute swelling/infection
    2. Stop or reduce post surgery elastic wear as you see fit and as counselled by your specialist team.
    3. Consult jawsurgery.com for general post op advice

FAQ 19  REMOVABLE OR FUNCTIONAL BRACES

  • You will not need to see us but

    1. If you are wearing a removable or functional brace please only wear at night only even where you have been previously instructed to wear full-time
    2. If your brace[s] become uncomfortable, email us and send in a photo for advice
    3. If your brace[s] is /are broken or ill fitting, do not wear it/them but let us know by email

    We will know you will need a scan at your next visit for a new one

FAQ 20-21 RETAINERS

  • You should try the following first:

    1. Gently and carefully pull the wire with Tweezers to remove the whole retainer or cut the exposed, unbonded wire using tweezers and nail clippers/scissors
    2. Wear your removable retainer as much as possible
    3. If this isn’t possible, push the wire back down towards the tooth as much as possible with fingers or Tweezers and cover with the best medium available [Ortho wax,Cheese wax, Blu tack or sugar free chewing gum.
    4. Wear your removable retainer as much as possible during the day but without fail at night time
    5. You can email us with a photo for advice only if the above is not possible
  • *Please note that as you are entirely responsible for keeping your own retainers in a safe place, we cannot be held responsible for any tooth movement that occurs as a result. All United Kingdom dental laboratories are closed,

    1. You can email us – it may be that, for some patients, we can access to your scans and can make a new retainer remotely. which can be posted out directly to you [you will be advised of the cost of ordering duplicate retainers]
    2. If it is not possible to get a replacement retainer, you could consider wearing your gumshield if you have one, or as a last resort you can wear your gumshield or order an online a ‘boil in the bag’ (heat mouldable) gumshield to use and wear at night to reduce the risk of relapse (unwanted tooth movement).
      **However, whilst even a a gumshield is better than nothing, these aren’t sufficiently well designed to hold teeth in position so the manufacturer cannot be held responsible for any relapse.

FAQ 22-24   INVISALIGN ALIGNERS

    1. Wear as instructed previously but stretch out each aligner to wear to 2 weeks full time wear, checking each time you go to the next aligner that the teeth fit perfectly until you finish those you have been dispensed up to the stage as expected for your next appointment.
    2. Use chewies as instructed for best fit.
    3. Once your series is finished, wear the last aligner at night only.
    4. Email us only if you would like 1 set of new replacement aligners and need to check with us to see if we can arrange 1 upper and 1 lower duplicate of your last aligner [you will be advised of the cost of ordering duplicate retainers from Invisalign before an order is made]
    1. Step back to the previous or best fit last aligner and wear at night only
    2. Email us only if you would like 1 set of new replacement aligners and need to check with us to see if we can arrange 1 upper and 1 lower duplicate of your last aligner [you will be advised of the cost of ordering duplicate retainers from Invisalign before an order is made]
    3. As a last resort, a ‘boil in the bag’ (heat mouldable) gumshield or ordinary gumshield to use and wear at night may reduce the risk of relapse but isnt ideal and it should be noted that these appliances aren’t specifically designed to hold teeth in this position
      Email us if this is the case, and we will ensure a new scan is taken at your next visit
    1. You may email us to see if it is possible to order you a new set of duplicate 3 upper and lower retainers exactly as before [you will be advised of the cost of ordering duplicate Vivera retainers from Invisalign before an order is made]
    2. Please note that if you have had a new fillings][ or crown[s]or any other restoration carried out since your last Vivera scan, these may not fit.
    3. If none of the above options are possible, email us and we will ensure a new scan is taken at your next visit and your options re-explained then.

CARE GUIDES AND INSTRUCTIONS

RETAINER INSTRUCTIONS

Please download the below PDFs for instructions and guidance on your retainers.

Business as usual during lockdown 2