Restorative Dentistry in Marlow, Beaconsfield & High Wycombe

Mr Vijayakumar holds the Membership of Prosthodontics of the Royal College of Surgeons England (M.Pros RCS Eng) and the Fellowship of Dental Surgery in Restorative Dentistry of the Royal College of Surgeons England (FDS RestDent RCS Eng) — the highest specialist qualifications available in this discipline in the UK. He is GDC-registered as a Specialist in Restorative Dentistry, a designation held by a small number of clinicians nationally.

Restorative dentistry at specialist level draws on knowledge of prosthodontics, periodontics, and endodontics simultaneously — because complex cases rarely involve just one discipline. Mr Vijayakumar coordinates your care across all of these areas, working closely with the wider specialist team at Conway House to deliver a treatment plan that considers not just the individual tooth, but the long-term health and aesthetics of your whole mouth.

He also receives referrals from dental practices across Marlow, Beaconsfield and the wider High Wycombe area for cases that require specialist input — including full-mouth rehabilitation, implant-supported restorations, and the management of worn or failing dentitions.

Crowns

A crown covers and protects a tooth that has been weakened by decay, fracture, or root canal treatment. At Conway House, crowns are designed and placed with the precision of a specialist restorative clinician — ensuring that the fit, occlusion (bite), aesthetics, and margins are correct. A poorly fitting crown is one of the most common causes of secondary decay and gum problems; the difference in outcome between a routine and a specialist-placed crown is significant.

Bridges

A fixed bridge replaces one or more missing teeth by attaching to the natural teeth or implants either side of the gap. Mr Vijayakumar designs bridges that distribute biting forces correctly, match the surrounding teeth precisely in shade and shape, and are planned with the long-term health of the supporting teeth and gums in mind.

Inlays and Onlays

Where a tooth has been extensively damaged by decay or fracture but does not yet require a full crown, a porcelain or composite inlay or onlay provides a precision-fitted restoration that preserves more natural tooth structure than a conventional filling while offering superior strength and longevity. These are particularly valuable in heavily loaded back teeth.

Dentures

Modern dentures — whether partial or full — can be designed to fit comfortably, function well, and look natural. Mr Vijayakumar provides both conventional dentures and implant-retained options (including SynCone precision attachment overdentures), giving patients who have struggled with ill-fitting removable appliances a stable and confident alternative.

Full-Mouth Rehabilitation

For patients whose teeth have been severely worn by erosion (acid damage), bruxism (tooth grinding), or years of wear and past dental work, full-mouth rehabilitation involves rebuilding the bite from the ground up. This is one of the most complex undertakings in clinical dentistry — requiring careful analysis of the jaw relationship, staged treatment planning, and precise execution across multiple restorations simultaneously. Mr Vijayakumar is experienced in managing these cases, often working in close collaboration with our Specialist in Periodontics and Consultant Oral Surgeon.

Implant-Supported Restorations

Dental implants provide the root; the restoration on top is what the patient sees and uses. Mr Vijayakumar designs and places the implant crown, bridge, or full-arch prosthesis that attaches to implants placed by Mr Dipesh Patel, our Consultant Oral Surgeon. This shared specialist pathway — surgical placement and restorative design by two dedicated specialists — is one of the defining strengths of Conway House’s implant offering.

Before undertaking any significant restorative work, Mr Vijayakumar carries out a thorough assessment of your oral health. Placing high-quality restorations into a mouth with active disease is one of the most common reasons restorative dentistry fails prematurely. At Conway House, we address the underlying causes before restoring the results.

Conditions we may need to address before restorative treatment can begin include:

• Gum disease — active periodontitis destroys the bone that supports teeth and restorations. Any crowns, bridges, or implants placed into a periodontally unstable mouth are at risk. Dr Mital Patel, our Specialist in Periodontics, manages gum disease as part of the pre-restorative phase, ensuring a stable foundation before any definitive work begins.
• Dental decay — active cavities must be managed before restorations are placed. A crown placed over untreated decay will fail — often before the patient realises anything is wrong.
• Endodontic (root canal) issues — teeth that need root canal treatment must have that completed before they can be crowned or restored definitively. Our clinician with a practice limited to endodontics manages complex root canal cases in-house, so the progression from endodontics to restoration is smooth and planned.
• Tooth grinding (bruxism) — patients who grind their teeth place enormous forces on restorations. Mr Vijayakumar will assess your bite carefully and may recommend a night guard or occlusal adjustment as part of the treatment plan to protect the long-term durability of your restorations.

If any concerns are identified at your assessment, we will always explain your options clearly and will not proceed with definitive restorations until the conditions are right for long-term success.

Restorative dentistry is often the cornerstone of a wider smile transformation. Because Conway House offers a full range of specialist care in-house, your restorative treatment can be planned and delivered as part of a comprehensive approach — with every element sequenced correctly and every specialist working from the same plan.

• Teeth Whitening — the shade of restorations such as crowns, veneers, and bridges is matched to your natural teeth at the time of placement. If you are considering professional whitening, this should be done before your final restorations are made — not after — so that the shade of your new crowns or veneers complements your whitened smile. We offer Enlighten and White Dental Beauty whitening systems, and Mr Vijayakumar will factor this into your treatment sequence if you wish.
• Dental Implants — when a tooth is missing, an implant-supported crown or bridge is typically the best restorative option. Mr Vijayakumar works directly with Mr Dipesh Patel, our Consultant Oral Surgeon, as an integrated surgical and restorative team — the implant is placed with the final restoration in mind from the outset.
• Periodontics — gum health is inseparable from restorative success. Dr Mital Patel, our Specialist in Periodontics, treats and stabilises gum disease before restorative work begins and monitors gum health around restorations long term. In cases where gum recession has affected aesthetics — making teeth look longer or creating uneven gumlines — periodontal soft tissue procedures can restore a more even gum contour before definitive crowns or veneers are placed.
• Oral Surgery — some restorative plans require extractions of teeth that cannot be saved, bone grafting to preserve ridge volume, or surgical exposure of teeth for orthodontic movement. Mr Dipesh Patel, our Consultant Oral Surgeon, manages these procedures in-house as part of the coordinated treatment plan — so there are no gaps in care between surgical and restorative phases.
• Orthodontics — straightening teeth before placing restorations can significantly improve the outcome. Moving teeth into a better position reduces the amount of tooth reduction needed for veneers or crowns, creates more even spacing, and improves the gum architecture around the final restorations. Dr Helen Veeroo, our Consultant Orthodontist, works with Mr Vijayakumar on these combined cases to sequence treatment optimally.
• Endodontics — teeth that have undergone root canal treatment are structurally weakened and typically require a crown for long-term survival. Our specialist endodontist manages complex root canal cases and works directly with the restorative team to plan the crown phase, ensuring the root-treated tooth is protected in the most appropriate way.

Not sure where to start? A restorative consultation with Mr Vijayakumar will give you a clear, honest assessment of your teeth, explain your options at every level of complexity, and outline a treatment sequence that makes clinical sense — whatever your goals and budget.

Complex restorative dentistry requires the involvement of multiple disciplines. A tooth that needs a crown may also need a root canal, gum treatment, or an extraction of a neighbour to create the right conditions for success. When all of that expertise exists within one practice, treatment is planned more intelligently and delivered with far greater continuity.

At Conway House, Mr Vijayakumar works alongside a Specialist in Periodontics, a Consultant Oral Surgeon, a Consultant Orthodontist, and a specialist endodontist — all in-house. This means your restorative plan is designed with the full picture in mind from day one, and every phase of treatment is coordinated without referral delays, lost information, or the inconsistency of multiple providers working independently.

• Consultant and Specialist in Restorative Dentistry with fellowship-level RCS qualifications.
• In-house Specialist in Periodontics for pre-restorative gum treatment and long-term maintenance.
• In-house Consultant Oral Surgeon for extractions, bone grafting, and implant placement.
• Specialist endodontic clinician for complex root canal treatment.
• Consultant Orthodontist for pre-restorative alignment when needed.
• Professional teeth whitening to complete your smile before final restorations are shade-matched.
• Flexible payment options including 0% finance (subject to status).