Oral Surgery in Marlow, Beaconsfield & High Wycombe

Wisdom Tooth Removal

Impacted or partially erupted wisdom teeth are one of the most common reasons patients are referred for oral surgery. Mr Patel uses CBCT 3D imaging where appropriate to assess the precise position of the tooth and its proximity to the inferior alveolar nerve before planning the safest surgical approach. Most wisdom tooth removals are carried out under local anaesthetic; IV sedation is available for patients who prefer a more relaxed experience.

Surgical Extractions of Compromised Teeth

Teeth broken at the gumline, heavily decayed roots, or teeth with curved or multiple root anatomy may require a surgical approach that a routine extraction cannot address. Mr Patel performs these procedures routinely, ensuring complete removal of all root fragments and minimising the risk of post-operative complications.

Bone Grafting and Ridge Preservation

When a tooth is extracted, the surrounding bone begins to resorb. For patients who are planning dental implants, preserving bone volume at the time of extraction significantly improves implant outcomes. Mr Patel performs socket preservation grafts and more extensive block bone grafts using both patient-derived and biocompatible graft materials, all in-house.

Sinus Lift Procedures

For patients requiring implants in the upper jaw where bone height is limited by the proximity of the maxillary sinus, a sinus lift raises the sinus floor and creates sufficient bone volume for implant placement. This is a technically demanding procedure that Mr Patel performs as part of the integrated implant pathway at Conway House.

Tongue-Tie (Frenectomy)

A tongue-tie (ankyloglossia) restricts the movement of the tongue and can affect feeding in infants, speech development in children, and oral hygiene and comfort in adults. Mr Patel performs frenectomy procedures using precise surgical technique, with minimal discomfort and fast recovery.

Exposure of Unerupted Teeth

When a permanent tooth fails to erupt into the correct position — most commonly an upper canine — surgical exposure allows orthodontic traction to guide it into place. Mr Patel works closely with our Specialist Orthodontist, Dr Helen Veeroo, to plan and coordinate these cases within the practice.

Good surgical outcomes begin long before the procedure itself. At Conway House, every oral surgery case begins with a thorough clinical assessment and, where needed, 3D CBCT imaging. This gives Mr Patel a precise picture of root anatomy, bone volume, nerve positions, and sinus anatomy before any incision is made.

As a full-service practice, we are well placed to identify and address any underlying issues that could affect the safety or outcome of surgery:

• Gum disease — active periodontal infection significantly increases the risk of post-surgical complications and poor healing. Where gum disease is identified, our Specialist in Periodontics, Dr Mital Patel, will treat this before surgery proceeds.
• Dental decay — neighbouring teeth with active decay are assessed and, where appropriate, treated in advance to reduce the bacterial load in the surgical area.
• Medical history — certain medications — including blood thinners, bisphosphonates, and immunosuppressants — can affect surgical risk and healing. We review your full medical history at consultation and liaise with your GP or specialist where necessary.
• Anxiety — patients who are nervous about surgical procedures are assessed for suitability for IV sedation, which can be arranged to run alongside the surgical appointment.

If we identify any concerns during your assessment, we will always explain your options clearly and will not proceed with surgery until the conditions are right for a safe and successful outcome.

Oral surgery is rarely the end of the story. At Conway House, we believe that every extraction should be accompanied by a clear plan for what happens to the space it leaves behind. Because we offer a full range of specialist dental care in-house, we can take you through every stage of that journey — from extraction through to final restoration — without the need for referrals to multiple practices.

• Dental Implants — the gold standard for replacing a missing tooth. Mr Patel works directly alongside Mr Ashok Vijayakumar, our Consultant and Specialist in Restorative Dentistry, to plan implant placement and restoration as a coordinated pathway. Bone grafting at the time of extraction can be performed to preserve the site for implant placement. If you are considering implants, this conversation should happen before your tooth is removed, not after.
• Periodontics — when a tooth has been lost to advanced gum disease, the underlying periodontal condition must be treated and stabilised before implant placement is safe. Dr Mital Patel, our Specialist in Periodontics, manages this phase in coordination with the oral surgery team.
• Restorative Dentistry — for patients who prefer a bridge or crown-supported solution, or who need existing restorations updated following extraction, Mr Ashok Vijayakumar provides a full range of restorative options designed to restore function and aesthetics in equal measure.
• Orthodontics — in cases where extraction is part of an orthodontic treatment plan, Mr Patel works directly with Dr Helen Veeroo, our Consultant Specialist Orthodontist, to sequence treatment correctly and achieve the best functional and aesthetic outcome.
• Teeth Whitening — patients undergoing extensive restorative or implant work often choose to whiten their natural teeth first, so that crowns, bridges, and implant shades can be matched to a brightened smile. Professional whitening with Enlighten or White Dental Beauty can be planned as part of the overall treatment sequence.

Not sure what comes after your extraction? Your surgical consultation will include a discussion of all realistic options for tooth replacement, so you leave with a complete picture — not just a gap.

Many practices refer complex surgical cases to hospital or community dental services, where waiting times can be significant and continuity of care is limited. At Conway House Dental Practice, oral surgery is performed in-house by a Consultant Oral Surgeon working within a team that includes a Specialist in Periodontics, a Specialist in Restorative Dentistry, a Consultant Orthodontist, and a clinician with a practice limited to endodontics.

This matters because oral surgery rarely exists in isolation. The tooth being removed has a history — decay, infection, gum disease, or previous restorations — and a future, in the form of the replacement that should follow. Having all of that expertise under one roof means your surgical care is planned with the whole picture in mind, and the next phase of your treatment can begin without delay.

• Consultant Oral Surgeon performing every surgical procedure.
• In-house 3D CBCT imaging for precise pre-surgical planning.
• Bone grafting and sinus lift procedures performed in-house.
• IV sedation available for anxious patients.
• Integrated pathway from extraction through to implant, bridge, or orthodontic treatment.
• Specialist Periodontics ensuring gum health is optimised pre- and post-surgery.
• Flexible payment options including 0% finance (subject to status).