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34 Fulham High Street, London, SW6 3LQ
  •   020 7731 1162   •   VIDEO CONSULTATION
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JUN 20

We are delighted to say that from the 8th June we have opened our dental practice after a huge amount of work behind the scenes to keep our staff and patients safe. We have made a major investment in our business including:

Newly painted exterior and signage. No more black!

New flooring internally with a lovely white oak effect vinyl which can be steam cleaned

PPE for all staff including custom made washable gowns, masks, caps, half face respirator masks by 3M and full face visors

Virus Killer air filtration units (due to 2 weeks) using 5 types of filter and UVC lamps to destroy bacteria and viruses.

Infra red hand sanitizer station on our bar in reception

Reception screening with custom made perspex barriers

What to expect at your next visit

Covid 19 has changed everyday life as we know it. We have had to follow various regulations, operating procedures and risk assessments. These include:

A text message will be sent to you for pre screening. Please click the link and in fill in the questionnaire. Your answers will be remotely sent back to us. There is no need to sign anything.

Temperature check on arrival using a contact free thermometer

You will be asked to use a pre treatment hand sanitizer

You will be asked to wear gloves, shoe covers, a mask and gloves

Please refrain from touching anything

Toilet area will be out of bounds. Please go before you see us!

Pre treatment mouth rinse Post treatment mouth rinse

Post treatment hand sanitizer

Contact free payments are preferred or remote payment by BACS or over the telephone.

Please report any signs of Covid 19 up to 14 days after your visit to us

Behind the scenes

Before and after your appointment, we will be working hard cleaning and disinfecting the surgeries. We have adopted a longer time frame for cleaning including spraying and cleaning the usual surfaces and extra areas such as desks, chairs, surfaces, door handles, keyboards and floor. Therefore it is even more important to be on time for your appointment. Please do not be early as we would like to keep the waiting area as free as possible but on the flip side, do not be late! This is even worse and will have a knock on effect for the rest of the day.

We appreciate your patience at this time

These measures mean it is impossible to see as many patients in a day as before. We will usually only have one clinician working per day to minimise staff and patient numbers at any one time. We know this is not ideal and hope that the measures will relax in the next few weeks. Please be patient with us, however, if you do have an emergency we will do everything we can to see you on the same day.

New opening times

Our new opening times are:

Monday to Friday 0900-1700

Saturday 0900-1400

Video consultations are still available 7 days a week with Dr Nissit Patel.

We will extend our opening times as soon as it is safe to do so and when we have a full complement of staff.


New patient examination £95

Emergency visit £95

Routine examination £60

Routine hygiene maintenance 45 mins £120
Routine hygiene maintenance 30 mins £80

We look forward to seeing you at Progressive Dentistry

t 0207 7311162


WhatsApp +44 7508 663942

MAY 20

Article written by Dr Nissit Patel

One of the most pressing issues in dentistry at the moment is when will we be able to re open for emergency dental appointments. It is has been nearly 2 months since we were forced to close our doors. Despite what the Government may say, on the 25th March the Chief Dental Officer stated:

  1. All routine, non-urgent dental care including orthodontics should be stopped and
    deferred until advised otherwise.
  2. All practices should establish (independently or by collaboration with others) a remote
    urgent care service, providing telephone triage for their patients with urgent needs during usual working hours, and whenever possible treating with:
    • Advice
    • Analgesia
    • Antimicrobial means where appropriate
  3. If the patient’s condition cannot be managed by these means, then they will need to
    be referred to the appropriate part of their Local Urgent Dental Care system. These
    new arrangements will involve providers working with defined groups of patients to
    manage urgent dental care needs only, with appropriate separation arrangements in
    place to manage patient status and professional safety

    By all accounts, this ordered an immediate halt to all dental services within primary care. In my local area, Fulham, SW6 London, I have not been informed of a local urgent dental care centre that I am able to refer extreme emergency cases to. The advice given by various bodies ( I shall not name them) was to call 111. Frankly, this may have been almost acceptable in the early stages of the pandemic but NOT 7 weeks after the statement. Thousands of patients across the country have been left in pain and distress with the advice to take pain killers and anti biotics, which as we all know, are only effective when infection is present.

    In this respect, I spent many hours reviewing the literature to provide some evidence based analysis on how we can protect ourselves, our patients and get back to work after lockdown. If you are interested in reading this article, it was published by Dentistry and the link is:

    The summary involves 10 key points which are easy to implement and allow us to get back to work as soon as possible. These include:

  1. Careful screening of patients pre treatment
  2. Alteration of patient appointment times/ flexible time frames
  3. Reception screening, social distancing measures  
  4. Consider clean air systems within reception areas and surgeries such as those involving air suctioning pre filters, HEPA filters, carbon filters and UV lamps
  5. Reducing aerosol
  6. Always use high volume suction or HVA
  7. Use rubber dam or consider additional isolation systems such as Isovac/Isolite
  8. Provide assistants to hygiene/therapists for HVA
  9. Enhanced PPE especially for those at greater risk of Covid 19
  10. Extra time for cleaning and disinfecting surfaces including areas not previously cleaned

    These are measured points that will go a large way to help our profession back to work and re start the process of opening our dental clinics in London and across the UK.

    Should you have a dental emergency, please do not hesitate to contact me. Although we cannot see you right now, I can try to help as best as I can remotely and arrange an appointment as soon as we can re open.
    t 0207 7311162

APR 20

If you are undergoing orthodontic treatment at this present time, I can appreciate that it is probably quite a worry about when your next appointment may be. After all, orthodontic treatment is all about seeing progress for teeth straightening and it is unlikely the next adjustment or review appointment will be for some time yet.

However, it is important to stay positive and remember the fact that things will return to some level of normality in the near future and that teeth can always be straightened despite the time delay!

On that note, I thought it would be useful to discuss orthodontic emergencies and how to manage them at home during lock down. The most common types of problems encountered listed below with some helpful tips on how to manage them at home.


This is a very common orthodontic emergency and can be very annoying. In most cases, the bracket will simply slide on the wire it is attached to.

On this model, several brackets have come off the teeth

The most simple way to deal with this is to use orthodontic wax over the bracket to hold it in place until you can eventually visit the orthodontist. Silicone putty can also be used but your dentist would need to provide this for you as it has to be a dental putty and not one found in hardware stores.

Wax on the central tooth bracket holding it in place


This can be incredibly annoying and sharp on the tongue or cheek. If the wire is quite long, it can be cut using wire cutters or nail scissors if the wire is thin. However, make sure who ever is cutting the wire holds the end so that a piece does not fly down the back of your throat!

If the wire is short, orthodontic wax can be used.

Wax covering the end of the wire on the molar tooth


In the case of the wire fracturing fully, I would advise pulling the wire fully out. Ideally, hold the wire with a tool that can lock into place and pull horizontally in gentle tugging action. This should be done for both fragments of the wire.


Sometimes, stain less steel ligatures are used around brackets to keep the wire firmly within the bracket slot. These are tied around the bracket, curt short and tucked under the wire. Sometimes they become loose and can irritate the tongue.

At home, you should be able to find a pencil with an eraser end. Use the soft end to push the ligature lie back down and ideally under the wire. This way, it will prevent it from coming back up again.

If the tie has begun to unravel, then it will be worth trying to remove it fully but twisting in an anti clockwise direction. It should then come apart easily.


Elastics are often used connecting brackets to close space between teeth. If this snaps, it is best to try and remove the elastic fully. Again, use an tool that can lock onto the elastic and try to unhook from the bracket at the top and bottom. However, if the elastic has been placed underneath the wire with separate ligatures to hold the wire, this will not be possible. In this case, just try to cut away the broken part using nail scissors.


The elastics will often become stained after eating foods such as curry or drinking red wine. Sorry, this is not an emergency!


If you are using Invisalign aligners and lose one, simply revert back to the previous one and use this as a retainer. Contact your dentist and Invisalign will be able to make another aligner for you. There is usually a charge for this. The key is to keep the aligners safe. Treat them like precious jewellery.


If your aligner or retainer cracks, as long as it fits well, it will still be fine to continue using it until the next visit to the dental practice. Even if a piece breaks off, it is better to use the remaining part than not at all especially for a retainer


During this unprecedented time, visiting us or your local dentist is not possible. However, hopefully this information was of some help and keep you going until restrictions are lifted and everyday treatments can resume.

Feel free to contact me:

Video consultations available 7 days a week via the home page of the website

T 0207 7311162

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©2020 Progressive Dentistry is the trading name of Orviol Ltd, a registered company in England and Wales 8973656
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