Preserving Your Natural Teeth for a Lifetime
Our clinical ethos is firmly rooted in prevention. Most common dental conditions—including early enamel demineralisation and mild gum inflammation—are completely reversible when caught early. Through routine examinations, low-dose digital radiographs, and intra-oral photography, we help you understand your oral health and maintain your natural teeth without aggressive intervention.
Dental Check-Ups & Examinations
Every routine visit includes a thorough assessment of your teeth, existing restorations, bite alignment, and supporting periodontal structures. Intra-oral cameras display high-resolution images onto our chairside screens, enabling you to inspect any areas of concern alongside your clinician.
Mouth Cancer Screening
As part of your comprehensive examination, we perform routine soft-tissue screenings of your tongue, cheeks, palate, and throat. Early detection of mucosal anomalies is vital for prompt and effective specialist intervention.
100% Amalgam-Free White Fillings
We are a strictly amalgam-free dental practice. When restoring decayed or fractured tooth structure, we place biomimetic composite resins that bond directly to natural enamel and dentine. This chemical adhesion preserves sound tooth tissue and produces seamless, tooth-colored results.
Periodontal Care (Gum Disease Treatment)
Red, swollen gums that bleed during brushing indicate gingivitis—an early, reversible inflammation. If left unmanaged, it can progress to periodontitis, causing irreversible bone loss and tooth mobility. We provide tailored supportive periodontal therapy to halt disease progression and stabilize your dentition.
Custom Bite Guards, Night Guards & Retainers
Sports Guards: Individually molded protective mouthguards designed to shield teeth from impact trauma during contact sports.
Night Guards: Custom-fitted appliances that prevent nocturnal bruxism (clenching and grinding), relieving morning headaches, facial tension, and occlusal wear.
Orthodontic Retainers: Precision retainers made in-house to secure tooth alignment and prevent post-orthodontic relapse.
Children's Dentistry
Visits for our youngest patients are designed to be calm, engaging, and educational. We introduce children to positive dental habits from an early age, delivering gentle preventive care such as fissure sealants and dietary guidance in an unhurried, reassuring environment.
Root Canal Treatment (Endodontics)
When a tooth's dental pulp becomes infected or necrotic—due to deep decay, repetitive restorations, or trauma—root canal treatment provides a reliable, tooth-preserving alternative to extraction. We thoroughly disinfect and seal the root canals, restoring the tooth with an onlay or crown for long-term structural durability.
Gentle Tooth Extractions
While our priority is always to preserve natural teeth, severely unrestorable or fractured teeth occasionally require removal. Extractions are performed with gentle surgical techniques and profound local anesthesia, followed by tailored planning for immediate or staged tooth replacement.
Tooth Sensitivity Care
If cold drinks or sweet foods trigger acute dental discomfort, our clinicians identify the underlying cause—such as enamel erosion, exposed root surfaces, or hairline craze lines—and provide effective, non-invasive desensitizing solutions.
Guided Biofilm Therapy (GBT)
A state-of-the-art, minimally invasive Swiss protocol that revolutionizes teeth cleaning and gum health.
Guided Biofilm Therapy (GBT) represents the gold standard in preventive periodontal maintenance. Traditional scaling can occasionally cause sensitivity through mechanical scraping; GBT instead uses controlled fine-powder air polishing with warmed water to safely eliminate bacterial biofilm, stubborn stains, and soft calculus.
This gentle approach is safe for natural tooth enamel, exposed root dentine, composite bonding, porcelain veneers, and dental implants. We offer Direct Access to our dental hygienist and therapist, Ms Agnieszka Boutlbee, allowing patients to schedule hygiene appointments without needing a prior dentist referral.
We recommend routine GBT appointments every 6 months to maintain optimal gum health, fresh breath, and stain-free aesthetics.
The 5-Step GBT Clinical Protocol
Assessment
Comprehensive oral examination evaluating tooth surfaces, periodontal pockets, restorations, and implants.
Disclosing
A safe disclosing dye is gently applied to visibly highlight bacterial biofilm so no areas are missed.
Removal
Gentle air-polishing using ultra-fine erythritol powder and warmed water eradicates biofilm and stubborn stains effortlessly.
Polishing & Fluoride
Smooth surface refinement followed by topical fluoride application to remineralize and protect tooth enamel.
Tailored Advice
Personalized home-care guidance and product recommendations to keep your smile healthy between visits.
Dental Implants & Fixed Bridgework
With more than 25 years of implant experience in our practice, Dr Emilie Abraham provides predictable, life-like tooth replacements that restore both chewing power and smile confidence without compromising neighboring healthy teeth.
Titanium Dental Implants
A dental implant serves as a precision artificial root made of biocompatible titanium, securely integrated into the jawbone. Implants can support a single porcelain crown, a multi-unit fixed bridge, or full-arch overdentures. Unlike traditional bridges, implants require no reduction of adjacent natural teeth and help prevent the bone resorption that naturally occurs following tooth loss.
Premium Implant Systems
We exclusively utilize globally leading, scientifically validated implant systems built for long-term clinical longevity:
Straumann® (Switzerland)
Neoss® (Scandinavia)
Fixed Bridgework Options
Conventional Bridges: Anchored to crowns prepared on teeth adjacent to the gap. Highly suitable when adjacent teeth already have large restorations requiring crowns.
Adhesive Bridges (Maryland / Resin-Bonded): A conservative, minimally invasive restoration anchored with lightweight metal or ceramic wings bonded to the back of neighboring teeth, preserving valuable healthy tooth enamel.
Emergency Appointments on Harley Street
Dental emergencies can cause intense distress and disrupt your everyday life. We reserve dedicated emergency appointment slots to provide prompt pain relief, emergency repairs, and definitive stabilization in a calm, caring environment.
We Provide Urgent Care For:
- Acute dental pain, pulpitis, and toothache
- Loose, debonded, or lost crowns and bridges
- Chipped, broken, or fractured teeth
- Fractured or damaged acrylic dentures
- Wisdom tooth pain, pericoronitis, and localized swelling
- Dental abscesses and acute oral infections
- Severe TMJ jaw pain, spasms, or sudden jaw lock
Need an Emergency Slot?
Please telephone our reception immediately at 020 763 14517 so we can prioritize your care and schedule your arrival.
Call Reception Now: 020 763 14517TMJD Management & Michigan Splint Therapy
Temporomandibular Joint Disorder (TMJD) affects the jaw joints and the complex network of surrounding chewing muscles. Common symptoms include jaw clicking, popping, limited opening, chronic tension headaches, neck pain, and nocturnal clenching or grinding (bruxism).
What is a Michigan Splint?
A Michigan Splint is a custom-engineered hard acrylic dental appliance worn over the teeth, typically overnight. Designed with precise occlusal ramps, the splint establishes ideal, harmonious contacts that disclude the back teeth during jaw movements. This deprograms hyperactive masticatory muscles, allowing the jaw joints to settle into their natural, relaxed position.
Clinical Benefits of Michigan Splint Therapy:
- ✓ Rapidly alleviates jaw muscle tension, facial spasms, and morning stiffness.
- ✓ Eliminates tension headaches caused by excessive nocturnal clenching.
- ✓ Protects natural teeth and ceramic restorations from destructive wear and fracture.
- ✓ Provides non-invasive, reversible therapeutic relief without pharmaceutical dependency.
Our 4-Stage Splint Protocol
1. Occlusal Assessment: Comprehensive TMJ palpation, joint sound analysis, and muscle evaluation.
2. Digital Impression: High-precision impressions or scans to construct your individualized appliance.
3. Chairside Equilibration: Meticulous adjustment to ensure harmonious contact and immediate muscle deprogramming.
4. Ongoing Review: Scheduled recall visits to monitor jaw comfort and splint wear patterns.
Aesthetic Dentistry, Bonding & Veneers
Enhance the harmony and brightness of your smile through biomimetic, conservative cosmetic treatments that respect natural tooth morphology.
Professional Home Whitening
We fabricate bespoke, custom-scalloped whitening trays in-house for swift turnaround. Paired with dentist-prescribed bleaching gels, this approach safely lightens enamel discoloration with minimal sensitivity and long-lasting brightness.
Composite Bonding
A single-visit, minimally invasive cosmetic procedure. Using multi-layered aesthetic composite resin, Dr Emilie Abraham sculpts natural anatomy to repair minor chips, close spaces (diastemas), and smooth uneven edges—with zero or negligible enamel removal.
Ceramic Veneers
Custom-crafted porcelain laminates bonded to the facial surface of anterior teeth. Ideal for masking intrinsic discoloration, developmental defects, or slight misalignments with exceptional translucency and stain resistance.
Gingival Veneers (Pink Prostheses)
Flexible, ultra-thin acrylic or silicone prostheses designed to conceal severe gum recession and prominent "black triangles" following periodontal disease. Restores a youthful, balanced gumline comfortably without surgical grafting.
Full Mouth Rehabilitation & Specialist Care
Both Dr Robert Abraham and Dr Emilie Abraham are accredited GDC Specialists in Prosthodontics. Prosthodontics is the specialized branch of dentistry dedicated to complex oral reconstruction, the management of heavily broken-down dentitions, and full-mouth rehabilitation.
Full Mouth Reconstruction
When extensive tooth wear, trauma, or multiple missing teeth lead to a collapsed bite (loss of occlusal vertical dimension) and chronic masticatory difficulty, full mouth rehabilitation re-establishes natural form, function, and aesthetic balance.
We break complex multi-stage rehabilitations down into clear, staged, and manageable steps. After comprehensive diagnostic imaging, wax-ups, and clinical assessment, we provide an easy-to-understand treatment plan with transparent, itemized costings.
West End Multidisciplinary Specialist Network
For multi-faceted cases requiring combined interdisciplinary care, we work hand-in-hand with leading Central London specialists:
- Orthodontics: Specialists in tooth realignment and bite harmonization.
- Endodontics: Specialists in complex microscopic and surgical root canal therapies.
- Periodontics: Specialists in advanced periodontal bone regeneration and gum surgery.
- Oral & Maxillofacial Surgeons: Specialists in complex surgical extractions and pathology investigations.
Tooth Wear, Acid Erosion & Attrition
Tooth surface loss has become increasingly prevalent across all generations due to acidic diets, gastric reflux, and nocturnal bruxism. As tough outer enamel wears away, teeth become shorter, translucent, chipped, and sensitive as softer yellow dentine is exposed.
Common Signs of Tooth Wear:
- Thinning, chipped, or translucent incisal edges
- Flattened biting surfaces on back molars
- Yellowing dentine shining through worn enamel
- Sharp sensitivity to hot, cold, or acidic foods
- Loss of vertical facial height and jaw fatigue
Our Conservative Solution:
Early identification allows us to arrest destructive habits before irreversible loss occurs. Rather than aggressively crowning worn teeth, we champion additive, biomimetic composite and ceramic techniques. By bonding material directly onto existing enamel, we restore lost height and protect your teeth without invasive drilling.
Treatment Fees & Consultation Guidance
We believe in honest, upfront communication regarding fees. Every patient receives an individualized written treatment plan with transparent costs prior to initiating treatment.
| Clinical Service / Consultation | Indicative Starting Fee | Treatment Inclusions & Notes |
|---|---|---|
| Comprehensive Routine Examination | From £110 | Includes complete dental check-up, oral cancer screening, and digital imaging review. |
| Guided Biofilm Therapy (GBT) Hygiene Session | From £135 | Full 5-step Swiss air-polishing protocol, disclosing, calculus removal, and fluoride therapy. |
| Specialist Prosthodontic Consultation | From £180 | Comprehensive diagnostic assessment with Dr Emilie Abraham, full report, and treatment options. |
| Emergency Consultation & Pain Relief | From £150 | Priority unhurried examination, diagnostic radiographs, and initial pain-relief stabilization. |
| Bespoke In-House Home Tooth Whitening | From £395 | Custom precision bleaching trays fabricated in-house, professional bleaching gel kit, and review. |
| Composite Bonding (per tooth) | From £275 | Minimally invasive multi-shade composite artistry to repair chips, gaps, or uneven edges. |
| Michigan Occlusal Splint Therapy | From £650 | Precision custom hard acrylic splint, chairside equilibration, and follow-up adjustments. |
| Dental Implant Restoration (Straumann / Neoss) | Case Dependent | Customized based on implant hardware, surgical requirements, and ceramic crown fabrication. |
| Full Mouth Rehabilitation & Tooth Wear | Bespoke Itemized Plan | Detailed phased treatment schedule with staged financial costings provided after consultation. |
Frequently Asked Questions
Find answers to common questions regarding specialist prosthodontics, hygiene, and treatments at 40 Harley Street.
Discuss Your Treatment with Dr Emilie Abraham
Contact our Harley Street clinic today to schedule your examination, hygiene visit, or specialist consultation.