Restorative Dentistry

Restorative dentistry is the area of dentistry that focuses on rebuilding and replacing lost, decayed or otherwise damaged teeth. This covers everything from a single white filling to complex full-mouth rehabilitations. Our team at Harley Street Dental Clinic have extensive experience of restorative dentistry and can treat even the most challenging of cases.

restorative dentistryA wide range of treatments fall under the umbrella term “restorative dentistry”. Some of the treatments can save a tooth that is otherwise at risk of being lost, while others replace teeth that are already missing.

Restorative treatments include:

White fillings, inlays and onlays

Made either of porcelain or composite resin material, white fillings are more accurately tooth-coloured fillings, as whatever material is used will be closely matched to the natural colour of your teeth. Areas of decay will be removed before a filling, inlay or onlay is placed. It is also possible to remove worn or unsightly grey metal amalgam fillings for a more aesthetically-pleasing result.


Dentures are artificial teeth used to restore functionality and appearance when teeth are lost. A full denture is used when all teeth in one arch are lost, while a partial denture is used to replace one or a few missing teeth. Dentures can be removable or can be fixed in place by dental implants. All of our denture work is carried out by our specialist in prosthodontics, Dr Charlotte Stilwell.

Dental implants

Dental implants are small, titanium screws that are placed directly in the jawbone, where they act as replacement tooth roots. They can support replacement teeth in the form of bridges, crowns or secured dentures.

Full-mouth rehabilitation

This involves a combination of treatments to restore your mouth to health, give you back pride in your smile and the functionality to eat a healthy, varied diet. If your teeth are extensively decayed, damaged or even lost, a range of treatments can be used. This may include bridges, crowns, veneers, implants and dentures, among other treatments.

What can a cosmetic dentist do for me?

The question of what a cosmetic dentist can do for you might simply be answered “whatever you want.” It’s true that cosmetic dentists have a wealth of ways in which they can improve the appearance of your smile. However, at Harley Street Dental Clinic we are keen to point out that we are focussed on treatment that lasts, as well as being aesthetically pleasing.

cosmetic-dentistOur unique and skilled team will not only work with you to create the smile of your dreams, but will also be realistic and honest – so if you come to see us with a particular treatment in mind and after a careful examination and consultation we do not believe this will be the best treatment in your case, we will tell you so – and will also recommend alternatives to help you get that dream smile.

Smile makeovers

At Harley Street Dental Clinic we are all about providing bespoke treatment to suit the needs of every patient. If you are interested in improving the aesthetic appearance of your smile, we invite you to join us for a smile makeover consultation with a cosmetic dentist.

Your dentist will take a detailed medical and dental history, and will find out a bit about your lifestyle before conducting a thorough clinical examination. All of this will help them to recommend the very best course of treatment.

After your cosmetic dentist has discussed all your possible treatment options, they will use the state-of-the-art 3D computer imaging technology at our Harley Street clinic to show you what results you can expect, and will run through all the pros and cons of any treatment option, so that you can be confident you are making a fully informed choice.

Only when all your concerns and questions have been answered will your dentist draw up a treatment plan.

Ways your dentist can end your denture woes

If you are struggling with ill-fitting dentures, your dentist can help. At Harley Street Dental Clinic we have a skilled team including prosthodontists and implantologists who can custom-design the perfect solution to suit your needs.

dental-denturesWhy we experience denture issues

Dentures have been around for a very long time and are an excellent option for people who have lost all or most of their natural teeth. Modern dentures are aesthetically pleasing, functional and comfortable, and can be made from a number of different materials, including plastic and porcelain, depending on your preference and your budget.

However, whilst dentists can now provide custom-designed, comfortable dentures, many patients still experience problems with their dentures becoming loose as the years go by.

This happens because although standard dentures replace the crowns of the teeth, they do not replace the roots. Without the roots in place, the jaw bone begins to shrink back over time, meaning you may have to make frequent visits to your dentist to have your dentures adjusted.

At our Harley Street clinic, we have found that many patients have benefitted from using dental implants to stabilise their dentures. Dental implants are small titanium screws that replace the root portion of a missing tooth or teeth. Your dentist can then use a range of special attachments to fix your dentures on to your implants, meaning that they will still be removable but will stay firmly in place and only come out when you want them to.

We have the full facilities to place dental implants here at our Harley Street practice. This can be done under local anaesthetic or sedation, depending on your preference.

Because they integrate with the bone and promote bone growth, dental implants help to stop bone loss. With regular visits to the dentist and hygienist, your implants can last you for life, and you need never worry about loose dentures again.

How a cosmetic dentist can restore damaged teeth

If you have chipped, broken, or otherwise damaged your teeth, a cosmetic dentist has many ways to restore them. At Harley Street Dental Clinic we care about solutions that last, and your dentist will ensure any tooth repairs are functional as well as aesthetically pleasing.

cosmetic dentistWhy you should repair broken teeth

Even a small crack or chip in a tooth is enough to let bacteria into the pulp or nerve at the tooth’s core. This can cause pain and discomfort and, in some cases, can lead to a dental abscess (a painful swelling). Without treatment, infection can ultimately end in tooth loss. Root canal treatment is necessary to remove infection from the pulp of a tooth – but all the pain, discomfort and additional treatment can be avoided if you visit a dentist as soon as possible after your tooth breaks.

What a cosmetic dentist can do

Several factors will determine the best way for your cosmetic dentist to restore your damaged tooth. These include the cause and extent of the damage, whereabouts in your mouth the broken tooth is located, and your personal preferences.

Tooth restoration options at Harley Street Dental Clinic include:

White fillings and composite bonding

White filling material is very strong and durable, and can be used to rebuild a broken or damaged tooth in many cases. Your cosmetic dentist will match the shade of composite material to the colour of your teeth.


Crowns can be made from a number of materials, including ceramic, porcelain, and precious metal. They provide additional strength for a broken or damaged tooth.

Porcelain veneers

Porcelain veneers are a popular way for cosmetic dentists at our Harley Street clinic to restore the aesthetic appearance of mildly chipped front teeth. They are bonded over the front surfaces of the teeth, and are made thicker to cover the cracked area.

What your dentist can do if you have missing teeth

A dentist has many options available to them to replace missing teeth. Harley Street Dental Clinic’s team is a unique collection of dental professionals, who will work closely together and with you to ensure that however many teeth need replacing, and whatever caused them to be lost in the first place, you will soon be enjoying the benefits of restorations that are both functional and aesthetically pleasing.

dental-dentureWhy we lose teeth

As a dentist you see people who have lost teeth for all manner of reasons. Teeth and gums are prone to injury in accidents such as trips, falls, and road traffic collisions. Playing any form of sport involving contact or fast-moving objects (such as rugby, hockey or cricket) can also cause injuries to the mouth that result in tooth loss. We always advise sportspeople to take the precaution of wearing a sports mouthguard to minimise the chances of this happening, but if you do lose your teeth in an accident we have several ways to replace them at our Harley Street clinic.

Tooth decay and gum disease also cause tooth loss. This can be a particular problem if you haven’t seen a dentist for many years, perhaps because of dental phobia. We understand that fear of judgement if your teeth are in less than perfect condition can then make fear of the dentist worse, as you are scared of being judged.

At Harley Street Dental Clinic we will never be judgemental. We understand and empathise with nervous patients, and know there are many reasons people put off seeking dental treatment. We just want to help you to get back to full dental health, because we think everyone deserves a healthy, happy smile. Treatment under sedation is available for nervous and phobic patients.

Depending on your situation, your dentist may recommend:

Do you know PRGF Technology?

At Harley Street Dental Clinic with Dr. Elisa Facco we are always researching new ways to improve the clinical process and make your visit to us as effective and pain-free as possible. With the arrival of PRGF technology, we can now offer a proven, safe and effective way to accelerate the healing process following placement of dental implants.

PRGF technologyThe process of implantology is invasive and leaves a small wound in the soft connective tissues of the gum and underlying jaw bone. With any wound, the body produces a special set of proteins which act at the site of the wound to stimulate the body’s natural repair process.

Using PRGF technology, we are able to isolate these healing proteins from a small sample of the patient’s blood and apply them directly to the area of the wound to accelerate the healing process.

To prepare the PRGF (“plasma rich in growth factor”) we take a small sample of the patient’s blood and treat it to produce a concentrated mixture of natural healing factors. This is then applied to the wound area in carefully measured therapeutic dose to optimise the healing process.

How a cosmetic dentist can treat a gummy smile

A cosmetic dentist can help improve the appearance of a gummy smile. Many people come to our Harley Street clinic concerned that their gum line is too low, too high, or too uneven. A gum lift is a cosmetic dental procedure designed to sculpt and improve the appearance of the gums, giving you a smile you’ll be eager to show off.

cosmetic-dentistEvery year, the team of cosmetic dentists at Harley Street Dental Clinic perform many gum lift procedures on men and women who have uneven gum levels. Also known as gum reshaping, this procedure is a pain-free, effective way to improve the appearance of your smile.

How it works

If you are suffering from a gummy smile (where too much gum tissue is on show) you should first book a consultation with a cosmetic dentist at our Harley Street clinic. They will carefully assess the current condition of your smile and will ascertain if a gum lift is the most appropriate treatment option. Then they will draw up a detailed treatment plan.

In some cases, a gum lift simply involves the use of a laser to reshape the gum line, by increasing or reducing its length to better fit the shape and structure of your teeth. As well as being pain-free, laser dentistry involves cauterises the gums so you should not experience any bleeding.

More extensive cases may require oral surgery, in which case your cosmetic dentist will refer you to one of their surgical colleagues here at Harley Street Dental Clinic. Surgery can be carried out under local anaesthetic or sedation, and may involve the removal of gum and bone tissue.

Recovery time

In most cases, you will be able to return to daily activities straight after a gum lift. Your dentist will advise you of post-operative recovery time and care should you require more extensive treatment.

How your dentist can restore beauty and functionality to your mouth with dental implants

Every dentist in the land will tell you that you should replace any missing teeth as soon as possible. At Harley Street Dental Clinic, we often find that the best way to do this is with dental implants.

Why you need to replace missing teethdental implants

As your dentist will tell you, when you lose one or more teeth, you lose so much more than your confidence to smile. Other teeth are prone to move into any gaps, becoming twisted, crooked, and harder to clean. Your jaw bone also starts to resorb or shrink back when your tooth roots are missing, which can make dental implant placement more difficult (although not impossible) and can cause the face around your jowls to sag.

Dental implants: the only permanent solution

Dental implants are the only permanent way your dentist can replace your missing teeth. They are small titanium screws placed directly into your jaw bone in a small operation, carried out either under local anaesthetic or conscious sedation here at our Harley Street clinic.
After a healing period, your dentist can then attach permanent replacement teeth to your implants, restoring not just a beautiful smile, but also the ability to eat whatever you choose.
At our Harley Street clinic we can replace your teeth with a combination of dental implants, and either crowns (for single teeth), a bridge or dentures (for multiple or all missing teeth).
With proper home care and regular visits to the dental practice, your dental implants and attached teeth will last you for many years – perhaps even a lifetime.
To book an implant consultation with an experienced dentist here at our Harley Street clinic, get in touch with us today. We believe it could be the best decision you will ever make.

How your dentist and hygienist can help you beat gum disease

Both your dentist and your hygienist have a crucial role to play in combatting gum disease, the leading cause of tooth loss in the UK. At Harley Street Dental Clinic our patients also benefit from the services of a specialist periodontist (a dental professional who has undergone additional training to specialise in the treatment of gum disease and other gum problems).

gum diseaseGum disease: a common problem

The majority of people will experience mild gum disease at some time in their life. Whilst this is a serious condition, it can – with regular visits to your dentist and hygienist combined with a good home care regime – be treated and managed.

However, just because it is a common problem this does not mean you should ignore it or hope it will get better on its own. Whilst the early stage of gum disease, known as gingivitis, is relatively easy to treat and manage, left untreated it can develop into the more serious form of the condition, known as periodontal disease or periodontitis. This can cause tooth loss and damage to the jaw bone.

How do I know if I have gum disease?

Gingivitis can be difficult to spot, but early warning signs to stay alert for include:

  • Gums that bleed when brushing your teeth
  • Persistent bad breath
  • Gums that are red or swollen, whether painful or not

Your dentist is in a prime position to spot early warning signs of gum disease, even if you haven’t noticed anything yourself yet. When you come into our Harley Street clinic for a standard dental check-up, your dentist will closely examine your teeth and gums, and may ask about symptoms such as bleeding gums.

Gum disease is caused by dental plaque, and factors such as diet, smoking, and some medicines can increase your susceptibility. A visit to our Harley Street clinic’s hygienist will help combat the condition in these early stages.

Why a cosmetic dentist is a must for teeth whitening treatment

Whiter teeth are one of the most frequently requested procedures from a cosmetic dentist. Here at Harley Street Dental Clinic, we offer several options for patients who would like to lighten the colour of their teeth, from teeth whitening treatment to porcelain veneers.

cosmetic-dentistIf you are looking to lighten your teeth, it’s vitally important that you contact a cosmetic dentist prior to treatment beginning. Type “teeth whitening” into a search engine and you will find scores of results. However, it is a legal requirement that whitening treatment should only be carried out by a dentist. Many of the products available online and even in high street stores may initially seem like a money-saving option – but the long-term costs could be enormous.

Whitening products used in dental practices have been extensively tested and proven to be both reliable and safe. While at best products bought elsewhere will simply have no effect, in the worst-case scenario they can actually be dangerous, causing damage to your teeth and gums. This could result in the need for extensive and expensive restorative treatment from a cosmetic dentist.

When you come into our Harley Street clinic for a teeth whitening consultation, your cosmetic dentist will conduct a careful examination of your teeth and gums. They will do this for two reasons: to check your dental health prior to starting treatment, and to assess the type of staining you are suffering from.

As with any cosmetic procedure, teeth whitening should only take place in a healthy mouth, to lessen the chances of side effects such as sensitivity. Should they spot anything requiring treatment, your cosmetic dentist can do this first.

Some types of discolouration will not be affected by teeth whitening, in which case your dentist may recommend veneers as an alternative. The expert team at our Harley Street clinic will find the perfect solution to suit your individual needs.