Mouth Cancer 

Facts and Figures

  • Mouth cancer is on the increase with cases up by 50% in the past decade.
  • It is more likely to affect people over 40 yrs old;
  • BUT the number of younger people (16-40) being diagnosed has increased.
  • More than 6500 people are being diagnosed with it every year.
  • Mouth Cancer kills more people than cervical and testicular cancer combined
  • The earlier it is diagnosed the better the survival rate.

Why should I replace missing teeth?

Your appearance is a very good reason. A missing tooth leaves a gap that can put a greater strain and wear on the teeth at either side. Your teeth may shift position resulting in gaps between other teeth, allowing food to trap which causes tooth decay and gum disease. Also you will not be able to chew your food properly which could result in poorer nutrition.

If you have a missing tooth we can replace it.


This a permanent solution if you have missing teeth. A 21st century way to complete your smile. Read More.


There are various types of bridges. We will assess your mouth and advice on the best option(s) for you to restore appearance and function


Dentures can be made out of 3 types of material:-

Cobalt chromium (metal based)

These are strong and have the benefit of being thinner and lighter than the acrylic dentures. They are precision made and therefore do not move while in use.


These dentures are relatively new. They are very strong and slightly flexible for comfort


This is a conventional type of denture

dental practice Cheltenham snoringHere at Hilltop Dental Practice in Cheltenham we are pleased to be able to provide an effective treatment for Snoring and Sleep Apnoea. We are a highly recommended practice by Somnowell.

Snoring affects approximately 30% of the population. This is caused by the tongue falling back and partially blocking the airway. This causes vibrations of the soft tissues. The effects of snoring and sleep apnoea can be far reaching causing sleep disturbances for the snorer and their partner. This in turn leads to lack of energy, poor concentration, mood swings, and irritability. Medically this can also result in high blood pressure and heart problems.

Obstructive Sleep Apnoea (OSA) has the same cause but is much more severe. Often the sufferer will have become over weight or there has been a decrease muscle tone that occurs with age. When the tongue falls back rather than causing vibrations, it can completely block the airway. The sufferer can be completely unaware of this and can remain undetected for years. Obstructive Sleep Apnoea is associated with an increased risk of stroke and cardiovascular disease.

Treatment for Snoring and Sleep Apnoea.

The vast majority of patients suffering from snoring and be treated in Cheltenham with a comfortable appliance that is worn at night. It is called a Somnowell appliance. It works by holding the lower jaw forwards and thereby stopping the tongue falling back. This keeps the airway open and stops snoring.

Obstructive Sleep Apnoea can also be effectively treated with a Somnowell appliance. The Somnowell ensures an open airway during sleep. It is a comfortable appliance due to its small size making it feel unobtrusive when it is worn.

dental practice Cheltenham Somnowell

Tooth coloured fillings

We use tooth coloured fillings which are bonded to the tooth to help strengthen the remaining tooth. They also have the advantage of blending in with the natural tooth structure and therefore looking natural.

Amalgam fillings

We do still offer amalgam fillings. These are strong but, in some cases can weaken the remaining tooth structure.

The amalgam filling contain mercury which is chemically bonded to the metal filling. However sometimes we are asked to replace the amalgam fillings because people are concerned about the potential for the mercury to affect them.

Root canal treatment

This is a technique to maintain teeth where the nerve is not healthy. We always advise to save teeth if possible.

Building up worn down / thin teeth

Restoring broken / fractured teeth


These can be made in the same day if required. We offer a range of options to include metal free crowns such as the fantastically strong all Zirconia crown.

woman with TMJ and headache pain
Temporomandibular disorders (TMD)

What are temporomandibular disorders?

Temporomandibular disorders are problems related to the jaw joint and the muscles and soft tissue in this area. This can result in headaches, jaw ache, toothache, joint noises and / or pain.

Fortunately here in Cheltenham we can help patients with TMD by using various dental splints and / or working in conjunction with other health care professionals.

What are the symptoms?

People with temperomandibular joint (TMJ) pain can experience severe pain. More women than men experience TMD; the general age range is 20-40 year olds.

The more common symptoms are:

  • Pain around the jaw joint and jaws
  • Headaches, neck and shoulder pain / ache
  • migraines
  • breaking teeth
  • pain behind the eyes
  • locking jaw or difficulty in opening and closing your jaw. It might feel stuck.
  • tinitus

What is the cause of TMJ joint problems?

The causes of TMJ problems are often multifactorial. The causes can be divided into 2 areas;

  • One due to the muscles around the TMJ being tense. This can be due to grinding and/or clenching one's teeth the cause of this may be stress or it could be predominantly coming from a back or neck problem. This can cause the muscles and joints to become sore.

  • The other is due to degeneration of the joint itself. This can be due to an injury, wear and tear or arthritis.

What is the treatment?

This depends on the problem. It might be jaw exercises alone or you may need a dental splint to support your jaw. This is normally only worn at night. Sometimes the teeth do not meet correctly and small adjustments can be made to allow the teeth to fit together better. This can then take the stress off the jaw joint and the surrounding tissue and allow healing to occur.

As TMJ problems can cause problems in the neck and further down the back (or back problems can cause TMJ problems), we will work with osteopaths if necessary to help the whole back and neck to realign.

What are they?

Implants are a revolutionary new way to have another set of teeth that does not move like a denture or involve cutting down sound teeth. Where there is a space in your mouth a firm new tooth can be placed which has its own root.

Dental implants have a very long history but until recently have been unpredictable and so have had a mixed reception. The current renewed rise in the use of implants dates from the 1960s. This was brought about by the discovery that bone will bond to the metal titanium and so the vast majority of implants in modern dentistry use titanium.

The second great advance has been the discovery that where bone has shrunk it is possible to grow new bone. This has greatly increased the number of people who can have dental implants and so benefit from the increased confidence and ability to chew which having dental implants brings.

These discoveries allow us to place a new root made from titanium in the bone and once it is set to build a new tooth above the gum. This can revolutionise the lives of so many people.

Images show patient before (on the left) and after implant.

before implantafter implant


No longer will dentures, which move, be the only option. No longer will healthy teeth have to be sacrificed for bridges. No longer will soft foods be the preferred choice on menus. No longer will you need to put your hand in front of your mouth when you laugh or smile.

Available from £200 per month with interest free credit

Download more Information on Implants

Download Post Operative Instructions after Implant Placement



Periodontal Therapy (Gum Treatment)

Approximately 10% of the population suffer from the more severe form of periodontal disease which can result in tooth loss. Our aim is for you to keep all your teeth! We use the latest techniques to ensure inflammation is reduced and your teeth are maintained as long as possible

We are now able to provide Qsiant where appropriate which is a new product which we have had excellent success with.

Hygienist treatments

  1. All treatment with Clare involves tailored prevention advice to reduce your risk of tooth decay, gum disease, bad breath and oral cancer
  2. Stain removal treatments
  3. Specific treatments for Gum (periodontal) Disease

Fissure sealants

These are a great way of protecting teeth against tooth decay. Deep fissures (grooves) in the tooth are sealed. This can be done on adults or children.

Fluoride varnish treatment

Fluoride varnish is a treatment that can be used to help protect against tooth decay. The varnish contains high levels of fluoride and is painted onto the surface of both baby and adult teeth. It works by strengthening the tooth enamel, making it more resistant to decay.

Prescription of high fluoride toothpaste when necessary

Certain patients are more susceptible to tooth decay such as those with dry mouth/ those undergoing radiotherapy. We assess each patient carefully and prescribe this product when needed. This has been proven to reduce the occurrence of tooth decay

Nutritional advice

We refer some patients for Nutritional advice to Vital/Cytoplan. Nutrition is very important for general health and we can specifically advise on how to best prevent tooth decay and how to reduce the risk of periodontal disease. It has been shown good nutrition can improve outcomes of periodontal treatments (thereby helping prevent tooth loss)

Sports mouth guards

Recommended for rugby, hockey, boxing and all other contact sports. Well fitting sports mouthguards help protect the teeth from damage.

We have a brilliant range of designs if you are feeling adventurous or we offer single colour ones. You can even have your own motif printed on it!

Mouth cancer screening

  • This is routinely done at every Oral Health Recall
  • We also offer free 10 minute mouth cancer screening appointments to patients who are not members of the practice.