Benefit from the expertise of our highly rated specialist oral surgeon.
5-star rated practice Over 25 years experience
Oral surgery is a specialist area of dentistry concerned with the diagnosis and surgical management of conditions affecting the teeth, mouth, jaws, face, and associated soft tissues.
At 75 Harley Street, oral surgery services are led by Mr Ali Amini (GDC 85278), a UK-trained oral surgeon with over 25 years of clinical experience. He qualified at the Karolinska Institute in 1999 before completing further medical and surgical training in the UK. He is a member of the Royal College of Surgeons, holds a doctorate from St George’s University of London, and has worked as a maxillofacial consultant at the Royal Free Hospital.
Treatment is based on careful clinical examination, appropriate imaging (including CBCT where indicated), and a conservative, evidence-based approach. Where possible, minimally invasive techniques are used to optimise comfort and recovery.
If you’re ready for expert oral surgery from a friendly and highly experienced dentist, our specialist oral surgeon, Mr Ali Amini (GDC Specialist No: 85278), can help.
Mr Amini has over 25 years experience, is a renowned expert in his dental field and takes pride in being an extremely gentle yet highly effective surgeon.
A coronectomy is a surgical alternative to full wisdom tooth removal, where only the crown of the tooth is removed and the roots are deliberately left in place. This technique is used when the roots lie very close to the nerve supplying sensation to the lower lip and chin and is usually carried out under local anaesthetic (with sedation available if required).
| Roots close to the nerve on X-ray or CBCT | |
| High-risk lower wisdom teeth | |
| Patients concerned about numbness risk | |
| Pre-prosthetic surgery including vestibuloplasty |
| Local anaesthetic (sedation available) | |
| Minimal access incision | |
| Crown sectioning and removal | |
| Root surface smoothing | |
| Sutured closure |
Most retained roots remain symptom-free. In rare cases, they migrate and can be removed safely at a later stage.
Temporomandibular Disorder (TMD) affects the jaw joints and surrounding muscles, often causing pain, clicking, stiffness, or headaches. Management usually begins with conservative, reversible treatments such as self-care advice, physiotherapy, splints, and short-term medication. More advanced interventions are considered only if symptoms persist.
| Jaw rest and behavioural advice | |
| Soft diet guidance | |
| Custom occlusal splints | |
| Physiotherapy referral | |
| Anti-inflammatory medication |
| Botulinum toxin (Botox) injections for muscle hyperactivity | |
| Arthrocentesis (joint lavage) | |
| Surgical intervention (rare) |
Most patients improve without surgery.
If you are experiencing chronic jaw pain or headaches, early specialist assessment is recommended.
Soft tissue conditions can affect the gums, tongue, cheeks, lips, palate, and floor of the mouth. These range from minor inflammatory or traumatic lesions to infections and potentially serious disorders requiring specialist investigation. Accurate diagnosis is essential to determine whether a lesion requires monitoring, medical management, or surgical treatment.
White and red patches represent abnormal changes in the oral lining and should be assessed if they persist beyond two weeks, increase in size, bleed, or change in appearance. While many lesions are benign and related to irritation, trauma, or fungal infection, some may show early cellular changes that require closer evaluation.
| Leukoplakia - white patches that cannot be wiped away and may be associated with chronic irritation | |
| Erythroplakia - bright red, velvety areas with a higher statistical risk of dysplasia | |
| Speckled (mixed) lesions - containing both red and white components and often requiring biopsy | |
| Oral candidiasis (thrush) - creamy white plaques that are wipeable and typically managed with antifungal therapy |
| Benign inflammatory or traumatic lesions may resolve with elimination of the underlying cause (for example, smoothing a sharp tooth or adjusting a restoration) | |
| Fungal infections are treated with topical or systemic antifungal medication | |
| Potentially dysplastic or high-risk lesions may require complete surgical excision to remove abnormal tissue and reduce the risk of progression | |
| Confirmed malignancy (if identified) is managed through referral within a multidisciplinary specialist pathway |
Where surgical removal is required, procedures are performed with careful tissue handling to promote optimal healing and minimise scarring.
Burning Mouth Syndrome is characterised by a persistent burning or scalding sensation without visible clinical cause. Management focuses on identifying secondary causes such as nutritional deficiencies, dry mouth, or infection, and controlling nerve-related pain where no cause is found.
A mucocele is a benign, fluid-filled swelling caused by damage or blockage of a minor salivary gland, most commonly affecting the lower lip. Treatment depends on size, symptoms, and persistence.
Definitive removal of the affected gland reduces recurrence risk.
Skin moles (nevi) are common pigmented growths that are usually harmless. Moles and other skin lesions around the lips, chin, cheeks, and jawline may also require assessment. Most are benign; however, changes in size, colour, border irregularity, bleeding, or rapid growth warrant investigation.
| Diagnostic biopsy | |
| Removal of suspicious or changing lesions | |
| Functional concerns (irritation from shaving or trauma) | |
| Cosmetic refinement |
Excision is carefully planned along natural skin lines to optimise healing and minimise visible scarring.
| Management depends entirely on the confirmed diagnosis | |
| Benign inflammatory or traumatic lesions may resolve once the underlying cause is addressed | |
| Infections are treated medically | |
| Dysplastic or high-risk lesions may require complete excision to reduce the risk of progression | |
| Confirmed malignancy is managed through appropriate specialist referral pathways |
Follow-up is arranged where necessary to monitor healing and ensure early detection of any recurrence.
Tongue-tie occurs when the lingual frenum restricts tongue movement, potentially affecting feeding, speech, or comfort. A frenectomy is a simple surgical procedure that releases or removes a tight frenum. Treatment depends on severity and symptoms.
| Tongue-tie (ankyloglossia) | |
| Speech difficulties | |
| Orthodontic concerns | |
| Gum recession |
| Local anaesthetic | |
| Scalpel or laser release | |
| Sutures (if required) | |
| Post-operative exercises |
Laser techniques may reduce bleeding and improve healing.
"Expose and bond" is a combined surgical-orthodontic procedure used to guide impacted unerupted teeth, most commonly upper canines, that are stuck in the jawbone to emerge into the dental arch.
Leaving impacted teeth untreated may lead to cyst formation or root damage to adjacent teeth.
Botulinum toxin (Botox) is used in oral and maxillofacial practice for both therapeutic and cosmetic indications. Therapeutically, it may be used to manage bruxism, TMD, muscle-related facial pain, headaches, and excessive salivation. Cosmetically, it is used to soften dynamic facial lines, reduce a gummy smile, slim the jawline, and improve facial symmetry.
The procedure is minimally invasive and typically completed in 10–20 minutes during a standard office visit.
Orthognathic surgery corrects significant jaw discrepancies that cannot be treated with orthodontics alone. Treatment involves close collaboration between surgeon and orthodontist.
Salivary gland disorders occur when the glands that produce saliva become blocked, infected, or inflamed. They include stones, infections, autoimmune conditions, and tumours affecting saliva production or flow.
Pre-prosthetic surgery prepares the mouth for dentures, bridges, or implants by reshaping bone or soft tissue to improve comfort and stability.
All procedures are performed under local anaesthesia with sedation available.