Brace Removal (Debond)

Step 1 of 3

Please read this form carefully and completely. If you have any questions, please do not hesitate to ask your treating clinician.

Consent Provided by *

Full Name of Parent / Guardian

First

Last

Patient Reference Number *

Patient Reference Number (PRN) consists of 5 digits and can be found on any emails or letters we have sent to you. Incorrect numbers entered will result in our system automatically rejecting your submission. If you don’t know your Patient Reference Number, please contact us at reception@orthwise.co.uk. Any submitted forms and appointment bookings will be rejected without this number.

Patient Name *

First

Last

Email *

Active Treatment Feedback Questionnaire

Please read this form carefully and completely. If you have any questions, please do not hesitate to ask your treating clinician.

1. Are you happy with your treatment outcome? *

2. Are you happy for the fixed brace to be removed? *

3. Do you have any concerns about your treatment outcome? *

I knowingly and willingly, by submitting this form authorise and consent to removal of the fixed orthodontic appliances and confirming that I am completely satisfied with the orthodontic treatment provided and all my questions and concerns have been addressed and responded to.

The Practice will be scheduling a follow up appointment to fit retainers and periodic appointments to review the retention. Patient and retainer must be present for these appointments. Please remember retention is a very important phase of your orthodontic treatment. Patients are expected to wear their retainers as per clinicians’ instructions to preserve their new smile. Please contact us immediately if a retainer is lost or broken to prevent relapse of treatment. We recommend purchase of a second set of retainers.

If there is any outstanding balance on your account, it will need to be brought up to date before the appliance removal appointment is made. Please remember to visit your dentist for your routine dental maintenance.

I am aware that once we enter into the retention stage of treatment, should I wish to make any additional changes to the position of my teeth, this may not be possible or will incur additional charges which I will be fully responsible for.

I am submitting this consent at my own discretion and I am under no duress to do so. I will not hold my treating clinician or the practice financially responsible for any adjustments that I wish to have carried out to the alignment of my teeth once I progress into the retention stage of treatment.

consent1 *

consent2 *

Step 1 of 3

Please read this form carefully and completely. If you have any questions, please do not hesitate to ask your treating clinician.

Consent Provided by *

Full Name of Parent / Guardian

First

Last

Patient Reference Number *

Patient Name *

First

Last

Email *

Active Treatment Feedback Questionnaire

Please read this form carefully and completely. If you have any questions, please do not hesitate to ask your treating clinician.

1. Are you happy with your treatment outcome? *

2. Are you happy for the fixed brace to be removed? *

3. Do you have any concerns about your treatment outcome? *

consent1 *

consent2 *

Patients Reviews

The Orthodontic Practice at Battersea

4.6

Based on 251 reviews

review us on

Yasmin Baki

1 week ago

Sam spent time explaining to me how to use the elastics on my braces after I had used them every day and my jaw had reacted too well so it had to be moved back a bit. Really helpful to understand how it works !

Alison Parker

1 week ago

Dr Sami has been fantastic with our daughter. Her teeth required a lot of work and the results are fantastic. We sought 3 different opinions before going with Dr Sami and we did not regret it. Great with the children and the results speak for themselves.

Claudia

1 month ago

I had Dr Sam as my orthodontist and I was having a tooth pulled up. I’m very afraid of needles and he had to inject something that numbs your gum for the operation. However I was very surprised when he injected it because I didn’t feel a thing when he put the needle in! He was talking me through it and checked to see if I was ok multiple times. 10/10!

Rigers

2 months ago

I’m really happy with the results from my treatment. The orthodontic practice did an excellent job straightening my teeth, and I’m very pleased with how they look now. The whole process was handled professionally, and I felt confident with the care I received throughout. I’ve also been very consistent with wearing my retainers, which has helped keep my teeth straight and maintain the results. I would definitely recommend the orthodontic practice to anyone looking to improve their smile!

Lorris

2 months ago

Since knowing myself i have had a large gap in my front teeth. Over the years my two front tooth started protruding, trying to escape through my mouth even when closed. I realised I had to do something about it. I spoke to my dentist who recommended me to Sam. I had a consultation with Sam who told me what could be done even though it would be quite challenging due to my age being a pensioner and the state of my teeth. Within weeks I noticed the difference. My gap was beginning to close and at one stage it was closed completely. I had to get it released because the gap was my identity. Two years on i reached where I want to be. My side gaps have closed whilst keeping my front gap but no protruding. I have two permanent retainers either side of the gap plus retainers for sleeping. Sam listened to me whilst advising me to reach my goal. I think he does a marvellous job and I would highly recommend him.

Bhupendra Sojitra

3 months ago

Greta Gaukrodger

3 months ago

I’m so happy with how my teeth look after a relatively quick- extraction free- treatment. After following all the advice in terms of cleaning, avoiding broken brackets, wearing by elastics and religiously wearing my retainer I could not ask for a better result! Thank you!!

Brooke Rohan

2 years ago

Highly recommend this practice. I was originally recommended Orthowise after having my children at a private practice on Wandsworth bridge Road. Sam the dentist immediately noticed that my son had a serious anomaly that needed surgical treatment asap. He was astounded that no other dentist had recognised this, as was I! The problem was now more serious as my son was older and it would have been much easier if identified when he was younger. Really shocking to think that it went unnoticed when it was a very obvious problem. Anyway Sam arranged for us to have the surgery done and was so helpful in arranging this quickly and effectively. Delighted we are now under his care and we are confident in getting both our son’s teeth done at Orthowise.

M V H

2 years ago

This clinic is brilliant! The team is so kind and supportive. Dr. Moghanchi is a highly skilled and experienced orthodontist. He has not only given my son a perfect smile, but also managed to save him from pulling several teeth that would have likely been removed otherwise. My son has cooperated well with the guidance and recommendations. My sincerest thanks for the continued support, kindness and patience. I highly recommend!

EMILY MORRIS

2 years ago

Very happy with my daughter's treatment. She was missing a bottom row tooth (naturally - never was one) and the treatment addressed this, the impact on her bite, and overall appearance as well. Found the practice friendly and efficient.

Georgina Swabey

2 years ago

Very happy with our experience fitting my daughter's braces. Thank you.

F M

2 years ago

The staff were very accommodating and professional in what was needed. Good advice was given on how to keep teeth in good order and end results is a fantastic one. Thank you

Dean W

2 years ago

My family have been using the Battersea orthodontic practice for over 20+ years, sammy is amazing and the work they do is without doubt incredible, my children’s teeth are now beautiful perfect and straight and as a parent couldn’t be any more happier with all the work they have done. I would absolutely recommend using this practice to anyone in need.

S L

2 years ago

My son recently completed his orthodontic treatment with Dr Moghanchi and the result is outstanding. His case was complicated however Dr Moghanchi managed to make his teeth look great without having to remove any to make room for the treatment. We're grateful to him for his time and expertise.

DD 07

2 years ago

I can’t thank Orthodontic practice Battersea enough for the amazing care I received over the past two years! After having braces for two years, my teeth are now perfectly straight, and I couldn’t be happier with the results. The entire team was professional, kind, and always made me feel comfortable at every appointment. They explained each step of the process thoroughly, which helped ease any concerns I had. I highly recommend Orthodontic practice Battersea to anyone looking for top-notch orthodontic care. Thank you for giving me a smile I can confidently show off!

Katy Rickards

2 years ago

We received a fantastic service for my 2 daughter who had train tracks. The service is excellent and the appointments always run to time. The staff are all friendly and helpful. Highly recommended.

Hihicookie I Hamel

2 years ago

I’m a 13 year old patient and couldn’t be happier with the result. It’s made me a lot more confident with my smile and was an easy process. Everyone is so friendly there. From my mum: fabulous service, outstanding results. Couldn’t recommend them highly enough. My son had a complex process and they did wonderful work on him too. Thank you!

Rose Zhang

2 years ago

Over the past two years, I have been bringing my child to this clinic for orthodontic treatment. Throughout the different stages of the process, we worked with several dentists. I must say that every one of them demonstrated exceptional expertise and genuine warmth. The reception staff at the clinic also left a great impression with their professionalism and attentiveness. I am truly grateful for the care and support we received during this orthodontic journey. It has been a wonderful experience!

Yazeed Abukar

2 years ago

After following instructions, my teeth are practically perfect!

Kim Bryan

2 years ago

Thanks Samir and your wonderful team for creating a beautiful smile for our daughter. We know it was a challenge because of a missing bottom tooth and unusual jawline but the results speak for themself. Mum, dad and daughter are extremely happy with the service we received.

Fayola

2 years ago

My daughter had braces fitted around March 2022. She had an appointment today and no longer needs follow ups. The process was quick but she put in the work to reach this point and worked with the Orthodontist. Thorough brushing and consistently wearing the retainer every night has given fantastic results. Orthodontist knows what they are doing. We are very happy with the service.

Nini Amegah

2 years ago

Virginia Eyre

2 years ago

My teenager inherited two missing adult incisors (very unluckily: one from each parent!!), so had to decide between closing the gaps and removing corresponding bottom row teeth or, opening up symmetrical spaces on top where the missing teeth should have been and filling them with false teeth on bridges. When I was offered the same decision back in the 1980s, my parents chose to close the gaps and remove bottom teeth. The result for me was straight teeth but always with a slight inward tilt that has increased with age. On the advice of our Orthowise, Battersea orthodontist, my teenager chose to wear braces to open up the spaces and then have bridges to fill the gaps. The result looks great! No inward tilt: just beautifully straight symmetrical teeth. Thank you so much to all the staff at Orthowise, who are always polite and helpful.

habiba te

2 years ago

After 18 months my son is removing his braces. I'm so happy to see him smiling again after being embarrassed by his teeth. Thank you.

Ella Hamid

2 years ago

God bless each and every staff member at this dentist. I’m so so so happy with the results of my braces removal my teeth have never been straighter!!! I feel so much more confident in my smile now. Thank you all. So worth the wait. Thank you especially to Dr Patel for all appointments. :))

Justin Lloyd-Williams

2 years ago

Superb treatment from start to finish, with excellent results I'm super happy with. I'm a 50+ year old male and was daunted by the prospect of wearing a brace for many months to straighten out my teeth and re-align my bite (following decades of disregard!). It took a long time, but Samir and the team got me there in the end. I felt safe and confident in their expert hands and - as mentioned - the results are well beyond my expectations.

Julian Parsons

2 years ago

I was becoming increasingly aware of/uncomfortable with the sub-optimal appearance of my teeth, often evidenced in family photos - I didn’t love what I was seeing. Time to take action. For reference, I am a middle-aged man with two daughters - one of whom had already completed a successful treatment programme with Sam. I assumed my treatment would be invisible aligners, it seems to be a popular choice. Instead, for the realignment I needed, Sam recommended braces - apparently aligners are not always the best solution - and of course, he was right. I grew to like the braces and ironically was in fact disappointed when it was time to have them removed! Sam did a brilliant job, the treatment was a great success, and the ‘big reveal' to partner, friends and family was worth the cost of the treatment. Recommended!

Natalie Brewster

2 years ago

My name is Lily and I’m 11 years old, though I was 10 when I first got my Twin block braces. I go to The Orthodontic Practice in Battersea, where I started my journey with braces. I needed them because my jaws weren’t correctly aligned, with an 11mm gap between them. That’s when I met Samir, my orthodontist, who was really friendly and helpful. At first, I was a bit nervous about getting braces. I wasn’t sure if they would hurt or if I might accidentally break them. But none of that happened! When I first put in my twin blocks, it felt strange and new, but I quickly realised it wasn’t as bad as I thought. After just a few days, I got used to wearing them full-time, and they became a normal part of my daily life. The change to my teeth happened a lot quicker than I had expected, and due to wearing them for the recommended duration, the end to end process was shorter and a lot easier. This was also thanks to Samir's support and guidance throughout. The toughest part of wearing the braces was tightening the twin blocks each week. It didn’t usually hurt, though sometimes it made my mouth ache a little. After a few months, the difference was incredible! In such a short time, my braces had made a huge improvement compared to how my jaws were when I started.

Anna C

2 years ago

Dr Samir waltzed into a consultation for my daughter and proceeded to criticise my own teeth, making assumptions about my dentistry experience and my husband's even though he wasn't there and we were there to talk about our 12yr old daughter. He was pompous and rude. He proceeded to quote an outrageous sum and insist that we should not wait for her baby teeth to fall out and get the braces on immediately but honestly it just felt like a sales pitch and the bloke was so arrogant and unfriendly there is no way I would continue with this practice.

Maryan Markovski

2 years ago

I would like to say that we are very happy with the whole process. The employees really love their job and that's why the results are brilliant. Many thanks to customers service, to Orthodontic specialists and to the owner of this clinic. Regards

Hanad Mahamud

2 years ago

We had a warm welcome when we arrived. They never delayed anything, and were extremely professional. The place is clean and is overall a great environment. The receptionists are quite helpful and the dentists work efficiently. They're reassuring and are understanding.

Katunge Newby-Bryce

2 years ago

I'm happy with the treatment and outcome of my daughter's teeth. Highly recommend.

Ziyad Choudhury

2 years ago

Amazing. Absolutely spectacular. The staff are so kind and helpful, aswell as being funny and warm. The procedures that I had on my teeth were quick and easy and cheap also. They also had a braces starter pack and the staff gave me tips and a leaflet on how to take care of my braces. Best orthodontist I have ever been to hands down. It makes getting braces look easy.

Stacey Lee

2 years ago

Excellent hygienist Matt. Super good at helping my child relax and explained everything great.

Talha Anwar

2 years ago

I had my hygiene session done with Matt at the Battersea Orthodontic Practise. He was excellent with his work, extremely smooth. The entire experience was pain free and in a pleasant environment. I would personally recommend everyone to see him as its worth every penny. Coming from someone who has seen other hygienists before i personally believe he is an expert at his job and does it right. Keep it up!

ARYA ETMINAN

2 years ago

I can never compare the experience I had with Dr Matt. Since I saw him my teeth are much better. I strongly recommend him for a hygiene session.

Mubarika Faiz

2 years ago

Unpleasant experience, My daughter went throughlots of pain due to not recieving anaesthesia before gum cleaning procedure, Dr Samir told my daughter she will be getting anaesthesia but surprisingly he refused from his word and the gum cleaning wasn't done properly by Dr Mathews waste of money

Xia

2 years ago

Pls avoid the receptionist called Vicky. She is extremely unfriendly, inflexible and refused to offer us any help as my son had exam need to change the appointment date, I called one day in advance, but she refused offer him anything in 10 weeks by now. She even don’t maintain you can call back anytime in case someone cancel their appointment. I had swapped his appointment a few times since he was treated in this clinic almost 16 months, everyone is very helpful and effective except Vicky, who really let me down and I had to made an complaint and wait for a response.

Sherril Griffiths

2 years ago

What can we say about Dr Sami and the team. MG came for braces a few years ago and was given a good "telling off" (she needed it!) on the importance of looking after her teeth as she wasn't doing that very well at all. Dr. Sami and team took her through the process of not just straightening, closing and filling gaps but showing her how to clean and maintain her teeth once braces were fitted and when they eventually were removed. We also purchased the cleaning equipment needed (reasonably priced). Once the braces was removed and all gaps closed MG was given two false teeth because two were missing and the work that had been done was outstanding. In the meantime a retainer was made to complete the work. This she was advised to wear every night whilst having regular check ups. To her credit she has done what's been asked of her and she has followed the advise given by Dr. Sami and this has definitely impacted her to the extent she has made sure to maintain the standard set by him and his team. I can only but praise the work done and the sound advice and care given by the whole team at the practice. She had her final check up on Thursday 30 May 2024 and was given the all clear and has since been discharged by Dr. Sami who was pleased with the outcome. MG FOLLOWED THE INSTRUCTIONS from start to finish, and it has produced a nice set of neat, clean teeth. Ok believe this has set her up for life and her smile is even bigger than before. A big thank you to Dr. Sami and the Orthodontic Practice at Battersea.

Justin Kulpa

2 years ago

Sam and team did a fantastic job with my daughter. They expanded her narrow jaw allowing her to keep all her permanent teeth. Retainer, headgear, to braces off in under 2 years. Very professional and enthusiastic service. Highly recommended.

Charmaine Clarke

2 years ago

My daughter has been seen by Orthodontic Practice Battersea and we have been thoroughly impressed by the service. Friendly and efficient. It has taken my daughter one year and she now has a perfect smile. Staff are friendly and it's easy to make appointments. Would definitely recommend

Pwettty. Honey

3 years ago

Hi, I wanted to share my experience with Battersea orthodontist so firstly I just wanted to say a huge thank you to the dr Moghanci for all the positive advice and encouragement and also I have been in and out of hospital but I have still managed to maintain the braces when I got them and now I got the perfect results with my teeth that I was looking for which I am so grateful for him and the team there and I would 100% recommend anyone here if there are looking to have an amazing smile and perfect teeth and this is the top best dentist out there.

Aaron Rahman

3 years ago

Very good hygienist and orthodontist

Lala Lala

3 years ago

Our four-year journey with OrthoWise, guided by Dr. Sami, has been nothing short of amazing. Their care and friendly approach have made the experience truly special. Thanks to Dr. Sami and the team’s dedication, my daughter's smile looks fantastic, and she feels so much more confident. We highly recommend OrthoWise to anyone needing orthodontic care. Thank you, Dr. Sami and the OrthoWise team, for making such a positive impact on us.

Craig Robinson

3 years ago

My daughter who has just turned thirteen had braces fitted a couple of weeks ago. The brackets have come off twice, the first time after one day of having them fitted. When she had the bracket put back on the orthodontist at the practice said it was not her fault and they weren’t put on correctly initially. After the second bracket came off she saw Dr Sami. He was very aggressive from the start and said she had been back three times and it was her fault. I explained there was problem with the fitting. He denied this and said I was being adversarial. He then proceeded to only talk to my daughter very aggressively from close distant whilst she was reclined in the chair. His behaviour is very disturbing and inappropriate especially when communicating with a child.

Mahmoud Ali

3 years ago

Ed Stevens

3 years ago

Amazing team amazing results. Thanks so much Sam & Co!!!

J J

3 years ago

After many months of visiting and receiving dental help/care from this orthodontist my teeth have been perfectly aligned. I would like to thank all the staff for helping me and recommend this orthodontic practice to all.

Bukola Eroju

3 years ago

I am extremely delighted about the care that was provided by Orthodontist Battersea for my son. The very first appointment with the doctor, put both myself and my son at ease, and it's been a stress-free journey throughout the whole process. Also, the staff are very friendly and welcoming. I am thankful to them for doing an amazing job!

JJ's World

3 years ago

The woman that I had the whole time that I had my braces in was so nice to me and even though I had the braces in for 19 months the process still felt quick to me and very good service. 👍

Julia Ortiz

3 years ago

Very professional and excellent service.

hazel macdonagh

3 years ago

My son was reluctant at first to wear braces but after persisting through that he is very happy with the results. I am glad that the orthodontic practice reassured him.

Luka Jovevski

3 years ago

Just been here and was treated to clean my gums and it was a very good and quick experience, the person who treated me is Matt and he did a very good job, definitely come here to get treated!

Tesfu Zeray

3 years ago

We are so happy with everything from the reception and all the stuff members . Overall the dentists are so professional friendly and supportive. My Daughter LIDYA is so happy and we are happy.

Queen H***

3 years ago

From the first meeting I had with the orthodontist Dr Moghanchi I was put at ease. The Dr looked at my teeth and checked to see if I needed to have braces. When it was confirmed that I did need the braces, the Dr explained to me and my mum what he intended to do when he installed the brace and what the brace would do for my teeth whilst having to wear then for the 18months. First, I saw the hygienist who gave my teeth a through clean, and then I saw the Dr Moghanchi the following week to install the braces. When the braces were installed, they did not hurt at all. The first few hours and that first week it felt different in my mouth and there were a few foods I couldn’t eat as I would damage the braces, so I had to get used to not eating certain fruits like apples for example. I wore braces on the teeth at the same time as wearing the Quad Helix which was fixed to the roof of my mouth. The helix felt weird but didn’t hurt at all. The first 6 month flew by, and I became used to my mouth and the braces. When the Quad Helix was removed, I went onto using the various types of elastic bands for the braces. This helped to shape my mouth to keep my teeth and jaw in a specifc place for 6 weeks at a time. Every month I came to see Dr J Patel and she would advise me on how well I was doing and if we needed to change the types of rubber bands we were using. The different bands created different tensions in the mouth, which yet again was painless, but each band change did feel slightly tighter. Dr Patel showed me at all appointments how to put on my bands. I found the overall experience of having my braces easy and when I came to my appointments, I felt at ease with the information that was provided. The staff were really friendly and welcoming. And I enjoyed my overall experience. Just remember to brush your teeth well, eat the right foods in order not to break your brackets. The journey will be worth it to achieve nice straight teeth.

Yorkabel

3 years ago

My orthodontic journey, which began in early 2018 and concluded in September 2023, was a long but worth it experience. I though I would get braces slapped on straight away but instead I find out I had a 10 mm overbite. The goal was to reduce it as much as possible. Initially, they provided me with twin blocks, this lasted for several months before I could transition to braces. The process was undoubtedly challenging, and I learned that consistency was key to achieving the desired results. Over the course of almost two years, the progress was gradual but remarkable. My overbite has significantly improved, and I’ve diligently worn my retainers since completing the treatment. I want to express my gratitude to the staff who supported me throughout this lengthy journey. Their expertise, patience, and dedication were vital in transforming my smile, and I couldn’t be happier with the result. Thank you!

Neera

3 years ago

Ms Jyoti Patel was extremely competent and efficient throughout my daughter’s braces treatement.

David Hytner

3 years ago

My teeth were very badly aligned but thanks to Doctor Samir and his colleagues they’re now perfect. I was scared about the surgery but it was okay. Thank you so much. Cam Hytner age 13.

said gommari

3 years ago

Very happy with everything, Jyoti Patel was amazing, friendly and helpful.. Thanks ever so much for your support.

Kashaf Akbar

3 years ago

My 2 children have been with this orthodontics practise for years and I must say, Sam , Eleanor and their team are amazing. They are extremely professional and know how to deal with young children aswell. They make a very light and comfortable atmosphere and get rid of any worries you may have, especially if its your first braces appointment and your nervous. Definitely, you are in safe hands

Mahum Usmani

3 years ago

great orthodontic clinic with a nice waiting room, and great orthodontists

Lilly Webb

3 years ago

Amazing results. My daughter had a severe horseshoe and over bite . Doctor Patel is fantastic he fixed it perfectly in just over a year

Morten Ayson

3 years ago

Jyoti Patel made the whole process of my daughter’s braces as smooth and stress-free as possible and did a fantastic job

Harry Bobbay

3 years ago

They did a wonderful job! I was sceptical when I was told to use a twin block before my braces, but the extra time was worth it. Listening to the orthodontist was one of the best things I have done in terms of what it did for my jaw and my teeth. It wasn’t an easy few years, but now (after 33 appointments!) I’m happy to smile and am no longer self conscious of it.

Ali Moghanchi

3 years ago

Federica Putzu

3 years ago

The staff is very polite,but they have luck of profesionality!My daugther had her first appointment with the orthodontist (which never saw her)because they left us waiting for an hour,and then asked us to reschedule the appointment!

Crystal Dior

3 years ago

Excellent Orthodontist with excellent results. Friendly and very warm welcoming staff. Every visit was positive and process was explained clearly. Very happy with the end result of my child's teeth. Thankyou!

Chelsy Green

3 years ago

i had my braces put on 18 months ago,im happy with my results.i would definitely recommend to friends and family.

Ayesha

3 years ago

I am very happy with the treatment and care provided to my daughter. She is very pleased with the end result. Dr Jyoti Patel has done a fantastic job giving my daughter a beautiful smile. Thank you so much

ALEKSANDRA ZBRZEZNA

3 years ago

I’m very happy wit the care provided by Orthodontist Battersea for my daughter. Every time we went there for my daughter appointments, the whole team was amazing and very welcoming. I could always ask questions or raise concerns. They were very helpful with accommodating a last minute appointment when my daughter needed it. Every member of staff is amazing with children and my daughter was always looking forward to the next appointment. Thank you so much. Aleksandra

Rachel Peacock

3 years ago

Highly recommend the hygienist Matt Sayar at this practice, especially for children/teens to develop their important teeth-brushing techniques. He is great, skilled, kind, and explains really clearly to children why and how to improve their brushing.

Codi Weston

4 years ago

This place has been very comforting and they are very kind. I would like to give a shoutout to my orthodontist: Jyoti Patel. Thank you for your service, my teeth are perfect!

The Orthodontic Practice at Battersea

BDA Good Practice

FREE Assessment

020 7924 4224

Active Treatment Feedback Questionnaire

Active Treatment Feedback Questionnaire

About

The Orthodontic Practice at Battersea

Patients Reviews

Explore

Opening Hours

Select a Language