WELCOME TO LCIAD

Comprehensive & Holistic Modern Dental Care

We have state-of-the-art equipped premises and an attention to detail that I would desire and expect for my own family and myself.

Dr Koray Feran BDS MSc FDSRCS
Principal Dental Surgeon and Clinical Director

WHY CHOOSE US? What we stand for...

Your journey with us

A bespoke strategy to provide you with the best advice and options available for you.

STEP 1

MDQ

Our Medical & Dental Questionnaire we request from every patient to customise your care.

STEP 2

Consultation and reporting

We listen, observe, examine, diagnose, plan, advise and estimate for the best care for you in writing.

STEP 3

Treatment

State of the art documented treatment by a world class team.

STEP 4

Aftercare

Bespoke aftercare to ensure you stay healthy and give you peace of mind for years to come.

Dental restoration and rehabilitation

SERVICES

State of the art restoration of teeth whilst maintaining what is left.

Come and learn about modern options to protect your teeth and make them look beautiful at the same time.

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Dental implants and tooth loss

SERVICES

Implant dentistry is our forte. We have been replacing missing teeth with dental implants since 1991.

Not all implant practices are the same – please talk to us and see the level of care that we can offer from planning single teeth about to be lost to full mouth restoration of your bite and appearance and dignity on dental implants

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Bone & tissue regeneration

SERVICES

LCIAD is an established centre for bone and tissue reconstruction around teeth and for implant dentistry.

Come and speak to our world class team.

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Endodontics (root canal treatments)

SERVICES

Infections cannot hide from us. Come and see us if you have a dental infection and we will resolve it.

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Gum problems

SERVICES

Gum problems are the most common cause of tooth loss.

They can be prevented and  treated successfully if caught in time.

Don’t leave it too late and come and see our specialist team at LCIAD.

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Bite, grinding and jaw joint (TMJ) problems

SERVICES

Chronic jaw joint and muscle problems or bite problems can be systematically treated at LCIAD.

Come and see how we appraoch this common condition and find relief.

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Improving your smile

SERVICES

There are so many options to improve your smile.

We want you to keep your teeth and enhance your smile whilst respecting what nature gave you.

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Hygienist & preventative care

SERVICES

Prevention is still better than cure. Come and meet the hub of our practice success.

Rosanna (Rosie) Hosker-Thornhill ensures that your teeth remain healthy before they need any treatment  and that teeth and gums around dental work stay healthy once you have completed treatment.

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Dental emergencies

SERVICES

Nobody likes a dental emergency. You want it to be gone. Today. If you need attention immediately, please contact the practice on 020 7323 3041 or complete the emergency request form on the link below and submit.

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Services

The new normal. LCIAD after re-opening

Dental restoration and rehabilitation

Dental implants and tooth loss

Bone & tissue regeneration

Endodontics (root canal treatments)

Gum problems

Bite, grinding and jaw joint (TMJ) problems

Improving your smile

Hygienist & preventative care

Dental emergencies

February 22, 2021

SCULPT – a new way to train

Introducing SCULPT – the new home learning composite resin masterclass for all levels

Dr. Shiraz Khan, along with his dental student colleague Curran Patel, has formulated a revolutionary training system and pathway for dentists, dental students and therapists to practice their manual composite skills at home.

What has been created?

SCULPT – Practice Makes Permanent

Using 3-D scanning and printing technology, accurate replicate models of teeth have been created with pre-made cavities in the replica teeth. This is sent to registered delegates along with a training pack for a live hands-on training session once monthly. For less than a coffee a day, delegates can tune in for a live session with Shiraz, our resident aesthetic dental surgeon at LCIAD, for mastering posterior composites wherever they may be.

‘This pack has been created to be affordable and accessible to the entire dental profession, including students’, says Shiraz.

Feedback from colleagues has been very encouraging, with comments from the dental profession such as: “exciting innovation”, “a dedication to education in dentistry” and “an intelligent idea”.

The inception of this idea was bought about by the change in circumstances resulting from the COVID pandemic preventing face to face teaching. As many will know, Shiraz is an internationally recognized and respected lecturer and has a keen interest in aesthetic restorative dentistry. A common lecturing topic/subject is the use of composite resin to restore teeth to their ideal form and anatomy. Using the SCULPT platform, Shiraz will now be able to extend training to all parts of the dental profession worldwide, with current delegates being based in the UK, several European countries and Canada.

The kit includes a model of each quadrant, a light curing handpiece, 3 hand instruments and a composite syringe. This really allows for everything to be contained within a single box, with updates in materials, instruments and composite resin shades being sent to delegates bi-monthly to quarterly. The delegates will then tune in live for a session using videoconferencing, where Shiraz will have an optimised, dedicated AV setup for hands-on teaching. This has been beta-tested on several courses already and has been received incredibly well.

We are most proud of the fact that this is really a revolution that has not been piloted or undertaken before. Shiraz and Curran have really broken the mould with this thrilling new approach and are market leaders in providing hands-on dental education in the comfort of your own home.

We are excited to be part of such a project and look forward to the progress of this fantastic initiative.

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February 17, 2021

Halitosis – preventing bad breath

Halitosis  

Halitosis (bad breathis a common complaint amongst patients. There are many possible causes of bad breath, ranging from dehydration, dietary choices, mouth-drying medication, chest infections or acid reflux.  However, around 90% of cases are due to poor oral hygiene, periodontal (gum) disease, coating on the tongue, food stuck between teeth, unclean dentures, faulty dental work or throat infections. During lockdown, many patients have neglected going to the hygienist. Those close to them have started commenting on their less-than-ideal oral odour that has developed that no amount of mouthwash can mask or eliminate.  

Seeing your dentist and hygienist regularly is the most important factor in correctly diagnosing the cause of the problem. 

Dental bacterial plaque 

The leading cause of bad breath is poor oral hygiene. If we do not brush and floss our teeth thoroughly, including in between the teeth, then this leaves behind a sticky layer we call dental plaque. This plaque is the accumulation of bacteria held together with saliva, fluid, food deposits sticky chemicals produced by the bacteria themselves.  The levels of bacteria grow throughout the day, and over a prolonged period of time there can be as many as 600 different types of bacteria present in the oral cavity. Bacteria also produce pungent chemicals called volatile sulphur compounds (VSC’s) that are detectable as halitosis. Plaque grows at the gumline of the teeth but can extend over the whole tooth and extend under the gumline causing gum disease and deep pockets that harbour even more bacteria.  

Your mouth is at a continuous temperature of 35-37 degrees which allows plaque to grow rapidly. In fact, bacterial plaque starts to become visible after 12 hours, which is why we brush our teeth twice daily. By brushing every 12 hours, you are breaking that cycle of bacteria growing and building itself into a developed layer of plaque. 

Plaque that is left then mineralises into calculus (tartar) that has a rough and porous surface that harbours and encourages the growth of even more bacterial plaque volume. 

Thorough professional cleaning to remove these deposits from above and below the gum very regularly (we advise 4 times a year) is the single simplest way to avoid gum disease and to prevent plaque maturing into sufficient volume that can cause detectable bad breath. 

We will also help you develop and hone your personal home care to ensure that your teeth and gums remain healthy between visits. 

Hydration and tongue coatings

Hydration and drinking enough plain water throughout the day is important. Having a dry mouth means having less saliva which is important to dilute chemicals that cause bad breath and to neutralise the pH levels in our mouth. Having a dry mouth can also lead to a white coating on the tongue, which can also contribute to halitosis. If you notice that you have a white coating on your tongue, ensure you are drinking enough water, not just tea and coffee! Ideally adults should be consuming around 6-8 glasses of fluids a day.  

If you have a good fluid intake but you still have a white coating on your tongue, then you may want to invest in a tongue scraper to remove it. Tongue scrapers can be found in large chemists and online.  

If you are worried about halitosis, the most important thing you can do is to book an appointment with your dentist or hygienist, who will provide a personalised and tailored oral hygiene routine, to eliminate the cause, and get rid of halitosis.  

Deteriorating dental work 

Leaking dental work or older dentures also provide surfaces and nooks and crannies for bacteria to collect. If you have tried all of the above it may be that your dental work may need investigating or your dentures require professional cleaning and disinfection. We can also arrange this for you. 

Whilst there are other causes of halitosis including chest infections or gastric problems, it is best to eliminate all possible dental causes first with your hygienist 

Come and let us treat and prevent bad breath before your partner, friends or colleagues have to tell you! 

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January 29, 2021

Immediate Life Support (ILS) Training for Dental Sedation at LCIAD

Anyone who has completed our Medical and Dental Questionnaire knows that we take the medical well-being of our patients at LCIAD very seriously.

Medical emergencies in dental practice are thankfully rare. Some practitioners may go their whole lives without seeing one. However, this is precisely why it is important to train regularly and meaningfully to ensure that the whole team is up to date with our emergency procedures and knows their equipment, drugs and protocols. This is not just a tick box exercise. We train with an experienced Medical Emergencies trainer to deal efficiently and correctly with real emergency situations that may emerge in dental practice. The LCIAD team last trained for medical emergencies in dental practice in the summer of 2020 after re-opening following lockdown. This time, it was for advanced immediate life support for scenarios involving dental sedation where our patient is under the influence of sedative drugs.

Our management of medical emergencies is regularly updated to a high standard with hands-on, realistic scenarios devised by our experienced trainer Pete Chell of Quest Dental Training and Development. Pete is member of the European Resuscitation Council, the Advanced Life Support (ALS) and Generic Instructor Course (GIC) faculty. He is a Fellow of the Institute of Training and Occupational Learning (ITOL).

The training involves the use of data from real scenarios to test our rapid diagnostic and life support skills. We train with patient assessment checklists and revise and practice Airway maintenance, Breathing support, Circulatory support, assessment of Disability and when to Expose the patient to assess for systemic problems to allow access for medical life support whilst maintaining dignity. (The Resuscitation Council UK’s ABCDE approach.)

Training included an update on appropriate use of emergency drugs, oximeter, blood sugar monitor, blood pressure monitoring, automatic defibrillator and use of CPR. Conditions such as fainting, angina, cardiac arrest, acute asthma, anaphylaxis, choking and airway obstruction, hypoglycaemia, epileptic fits, over-sedation and unexpected bleeding were all covered. The team tested its response time to diagnosis and its efficiency in providing emergency life support in scenarios that may occur in practice at any time.

We are most grateful to Pete Chell for his training methods and testing our knowledge, combining seriousness with fun and in making this course memorable and thought-provoking. We all look forward to welcoming him back in the summer for our annual medical emergencies training update.

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Exceptional service

Zoe

The primary reason for emailing you is to thank you and your amazing team for looking after me so well last Saturday, I really appreciate it…

Mrs Linda B

Dear Koray and all your Team I can never thank you enough for, not only the amazing changes you have made to my teeth, but also for the incredibly kind and reassuring way you achieved this….

Doctify verified patient

I always look forward to come here, despite the fact that the reason for coming to the clinic is to fix the problems I have with my teeth. Very friendly environment. Totally feel like I’m with my best friends here. The clinic it’s very clean always which it’s very important for me personally.

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As always a friendly reception and highly professional attention. Still London’s go to practice!

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A wonderful experience, very well looked after at all times by a highly skilled, professional and supportive team

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I am an extremely nervous patient and almost everyone I have seen has been kind and supportive. The level of expertise of the dentists and other practitioners is excellent.

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Outstanding care and professionalism.

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Always a pleasure coming to LCIAD as I Feel very welcomed and the clinical care exceptional.

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The dentistry made pleasurable – sounds like a contradiction, but in this clinic it is true.

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People are friendly and they make you feel relaxed and welcome all the time. Very clean and location is perfect.

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Excellent care from Koray and team. Very supportive and everything explained and executed to an exceptional standard

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Would recommend to my friends and family. Very good people

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Excellent, very professional, very pleasant and very accommodating. Available to answer concerns by email which is an advantage. Have recommended to my colleagues.

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As usual I was treated as though I am the only patient. Great experience.

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A caring & friendly practice that functions at the highest standards and protects all its patients and their teeth. Dr Koray Feran has looked after my teeth for more than 20 years, that says it all.

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Superlative. Dr Feran has provided a cutting edge solution to each challenging deficiency in my dental condition with a level of skill and confidence second to none. Team support has also been magnificent. Thank you very much.

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I am so happy with the treatment and outcome of the terrible situation I was in. It looks so healthy and beautiful now, after years of infection and ugly crowns and retreated gums. I know it was complicated to get the implants in and I am very grateful for the expertise of Koray. Everybody at LCIAD is very friendly and were always so nice to me.

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Wow… This was an absolute seamless experience! From the initial consultation, through to the end, it was all faultless… Thank you! Thank you! Thank you to Isabella and the team… Now I feel like smiling, all the time… 😁😁😁😉

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I was greeted with warmth the moment I walked in and I cannot fault the professionalism of everyone concerned with the clinic.

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Isabella is technically very accomplished. She has superb attention to detail and a real dedication to patient satisfaction. I felt in safe hands and her team are equally proficient and caring. We even managed a few smiles despite the long procedure! Happy to recommend Isabella/LCIAD without any caveat

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I would like to say that my dental treatment at LCIAD could not have been better, both in form of the work done and the kindness and competence of all the staff

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Most people’s dental treatment is all to do with teeth but what you have done for me has been much, much more. Without you I would never have embarked on the process and I cannot tell you what a difference it has made to my life in respect of my confidence – I smile so so much more now so a very big thank you to you and your team.

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Koray and his excellent team have saved my teeth, my overall appearance and my smile. After acknowledging at the age of 66 that I was likely to loose most of my upper teeth and some of my lower ones because of gum disease, bone loss and crumbling teeth, I realised I had to invest in some radical work. My new implants, crowns and other treatment have given me confidence to smile, eat crunchy food and and present myself to the world with teeth which look good without looking falsely flashy and white.

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So many thanks to Koray for his enormous care and patience in transforming my mouth and to the three dental nurses who cared for me so well over the months. It is not easy to lie in a dentist’s chair for many hours at a stretch but they were always attentive and soothing. If you are serious about giving your teeth the makeover they need to see you through the years ahead, then I would strongly recommend LCIAD.

LCIAD DENTAL LCIAD ACADEMY LCIAD FACE