Concierge children’s surgery · UK
Paediatric oral + maxillofacial surgery - teeth, jaws and faces, in specialist hands.
Impacted canines, extra teeth, tongue-ties, jaw cysts and facial injuries - treated by dual-qualified consultant surgeons who operate on children every week, in units built around them.
Why patients choose us
- 01
Dual-qualified surgeons, paediatric settings
Oral and maxillofacial surgeons hold both dental and medical degrees. Ours also operate on children routinely - in units with paediatric anaesthetists and child-sized recovery.
- 02
One team for tooth, jaw and face
From a buried tooth to a jaw cyst to a fractured cheekbone, the same specialty covers it - no ping-pong between dentist, orthodontist and hospital.
- 03
Independent, and free
We are paid by no clinic, so if the right answer is orthodontics first, watchful waiting, or nothing at all, we say so - impartially, at no cost to you.
Indicative pricing
What private paediatric OMFS costs in the UK.
Indicative all-in ranges across our partner children’s units. Send the details and we quote firm figures across two or three options, with cover checked.
In short
Canine exposure and bonding in our network: £2,000–£4,000 all-in, home the same day.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Paediatric OMFS consultation | £200–£350 | 20–30 min | Same visit |
| Imaging (OPG or cone-beam CT) | £100–£400 | 10–20 min | Same visit |
| Tongue-tie division (frenectomy/frenuloplasty) | £400–£1,500 | 10–30 min | Home same day |
| Extraction of teeth under GA (day-case) | £1,500–£3,500 | 30–60 min | Home same day |
| Exposure and bonding of impacted canine | £2,000–£4,000 | 45–90 min | Home same day |
| Removal of supernumerary teeth or odontome | £1,800–£3,800 | 30–90 min | Home same day |
| Jaw cyst enucleation (benign) | £2,500–£6,000 | 45–120 min | Day-case or 1 night |
Prices vary by hospital, by anaesthetic type, and by complexity - a single erupted extraction sits far below a bilateral cyst case. Every quote is all-in: surgeon, paediatric anaesthetist, hospital and histology. We come back with a firm figure within one working day.
The problem
The orthodontic clock is ticking - and children deserve children’s teams.
Paediatric mouth and jaw surgery fails in two ways - months on a waiting list while the orthodontic window closes, and complex work attempted outside child-specialist settings. We fix both.
-
Timing is a clinical outcome
An impacted canine exposed at the right moment straightens beautifully; a year late, options shrink. We book to the orthodontic plan, not the waiting list.
-
A children’s anaesthetist, always
Every GA in our network is given by a paediatric anaesthetist in a child-centred unit - non-negotiable.
-
One surgeon for the whole problem
Tooth, cyst, jaw and face are one specialty. No bouncing between dentist, orthodontist and hospital with nobody holding the plan.
The journey
From enquiry to recovery - what happens, in order.
One team from first message through imaging, surgery and the orthodontic handover.
Phase 1 · Before the operation
Consultation, imaging, joint planning
Phase 2 · On the day
Day-case surgery
Phase 3 · After
Healing, histology, handover
- 01
Before
You tell us what is going on
A short, confidential form. Your child’s age, the problem - a stuck tooth, a lump, a tongue-tie, an injury - plus any X-rays or orthodontic letters you already have.
- 02
Before
We come back with a recommendation
Within one working day: the right surgeon, whether imaging is needed first, and an indicative price for assessment and any likely procedure.
- 03
Before
Consultation and imaging
A gentle examination with an OPG (panoramic X-ray) or cone-beam CT where needed - explained to your child in language that does not frighten.
- 04
Before
The plan, agreed with parents
Procedure, anaesthetic (local, sedation or a short general anaesthetic), timing around school, and consent from those with parental responsibility.
- 05
On the day
Day-case surgery
Most paediatric OMFS procedures - extractions, exposures, cysts, frenectomy - take 20–90 minutes as a day-case, with a parent present at induction and in recovery.
- 06
On the day
Recovery and home
Once comfortable, eating soft food and settled, your child goes home the same day with written aftercare, analgesia and a direct line for questions.
- 07
After
Healing, histology, orthodontic handover
Review at 1–2 weeks, histology results where tissue was sent, and a proper handover to the orthodontist when the surgery was part of a bigger tooth-alignment plan.
Typical end-to-end: 1–3 weeks from enquiry to surgery. Back to school: 1–3 days for most procedures.
When it helps
When a paediatric OMFS surgeon is the right call.
The problems we see most, plus the one red flag that means emergency care today.
-
Impacted or buried teeth
Canines stuck in the palate, wisdom teeth in teenagers - exposed and bonded for orthodontics, or removed when they cause harm.
-
Extra (supernumerary) teeth
Extra teeth blocking the adult ones from erupting - a common reason a front tooth simply never appears.
-
Tongue-tie and lip-tie
Feeding or speech problems from a restrictive frenulum - divided in minutes, at any age from infancy up.
-
Jaw cysts and benign lumps
Dentigerous cysts, odontomes, mucocoeles and other benign swellings of jaw and mouth - removed and always sent for histology.
-
Facial and dental injuries
Fractured jaws, cheekbones and knocked-out or displaced teeth from falls, sport and bikes - assessed and fixed by the right specialty first time.
-
Extractions needing more than the dental chair
Multiple baby-tooth extractions, deeply broken teeth, or children too anxious or too young for local anaesthetic - done kindly under GA.
-
Jaw growth and orthognathic questions
Significant jaw discrepancies in teenagers - monitored through growth, with corrective surgery planned jointly with orthodontics only when growth is complete.
-
Red flag: facial swelling with fever
A hot, spreading facial swelling with fever or difficulty swallowing is a dental abscess going wrong - same-day emergency care, not a routine booking.
Procedure options
From ten-minute frenectomies to staged jaw surgery.
What each procedure family involves - and how surgery slots into the bigger picture of growth and orthodontics.
-
Surgical extractions
Buried, broken or stubborn teeth removed through a small gum incision - including wisdom teeth in older teenagers.
-
Exposure and bonding
An impacted canine is uncovered and a tiny gold chain bonded to it, letting the orthodontist guide it into place over months - teamwork between surgeon and brace.
-
Supernumerary and odontome removal
Extra tooth-like structures blocking normal eruption are removed, usually as a short GA day-case, clearing the path for the adult tooth.
-
Frenectomy and frenuloplasty
Division of a restrictive tongue-tie or a thick upper-lip frenulum - for feeding, speech or a stubborn gap between front teeth, done in minutes.
-
Cyst and lesion surgery
Benign jaw cysts are drained or removed (marsupialisation or enucleation), protecting developing tooth buds - with every specimen sent for histology.
-
Facial trauma repair
Displaced fractures of the jaw or cheekbone are realigned and fixed with small plates; children’s bones heal fast, so timing matters.
-
Salivary and soft-tissue procedures
Mucocoeles, ranulas and minor salivary gland problems of the lip and floor of mouth - small operations with meticulous technique.
-
Orthognathic (jaw) surgery planning
For significant jaw discrepancies, growth is monitored and corrective surgery planned with the orthodontist for the late teens - never rushed.
Our vetted UK network
A small panel of maxillofacial surgeons, we picked them.
Dual-qualified consultant oral and maxillofacial surgeons with regular paediatric practice, across London and the major UK cities. Introductions are made privately, once we understand your child’s case.
Selection criteria
How we choose every children’s surgical unit in our network.
-
Consultant oral and maxillofacial surgeons with regular paediatric practice
-
Paediatric anaesthetists and child-centred day-surgery units for every GA
-
Joint planning with orthodontists for exposure, extraction and jaw cases
-
Histology sent for every cyst and lesion, with results explained to parents
Safety and recovery
What to expect afterwards - honestly.
Children heal fast and modern paediatric anaesthesia is very safe. The things worth understanding are the anaesthetic, the nearby structures, and the red flags.
-
Short GAs in children are very safe
A healthy child, a paediatric anaesthetist and a 30–90 minute day-case is a very safe combination - and far kinder than struggling through complex work awake.
-
Bleeding, swelling and bruising
A little oozing and a puffy cheek for a few days is normal after extractions and cyst surgery. Bleeding needing return to theatre is rare.
-
Nerve bruising near lower teeth
Work near the lower jaw’s nerve can cause temporary lip or chin tingling; permanent change is uncommon in children and the risk is mapped on imaging first.
-
Damage to neighbouring teeth
Developing adult tooth buds sit close to surgical targets - protecting them is precisely why paediatric-experienced OMFS surgeons, not general practitioners, do this work.
-
Infection and dry socket
Uncommon in children. Increasing pain from day three, a bad taste or fever deserves review rather than more painkillers.
-
Red flags after surgery
Bleeding that will not stop with pressure, fever with spreading facial swelling, difficulty swallowing or breathing - same-day contact or A&E, immediately for any airway concern.
Reading your child’s operation note
The operation note in four parts. Read the last one first.
Whether it was a frenectomy or a cyst enucleation, the note the surgeon sends you keeps to the same shape.
A quiet reminder
Dental notation and surgical shorthand baffle most parents - we translate it for you.
If you would like us to talk you through the operation note, the X-rays and any histology before your follow-up, just ask.
- 01 Header
Diagnosis and procedure
What was found and what was done - which teeth, which lesion, which side - in language you can hold on to.
- 02 Technique
Anaesthetic and surgical detail
The anaesthetic used, the approach taken, sutures placed (usually dissolvable) and anything bonded, plated or preserved.
- 03 Findings
Histology, where tissue was sent
Every cyst and lesion goes to the pathologist. The result - almost always benign - is reported and explained, never left in a file.
- 04 Impression
Aftercare and the onward plan
Read this first: eating and toothbrushing rules, school return, the orthodontic handover where relevant, and the review date.
Recognised by major UK insurers
Medically necessary oral and maxillofacial surgery - impacted teeth, cysts, trauma - is usually covered; purely dental work often is not, and the boundary matters. We confirm cover line by line before booking.
Frequently asked
Everything parents ask us about paediatric OMFS.
Quick answers on anaesthetics, missing adult teeth, recovery, cost and NHS waits.
-
What is paediatric oral and maxillofacial surgery?
Surgery of the mouth, jaws and face in children - impacted and extra teeth, tongue-ties, jaw cysts, facial injuries and jaw growth problems - performed by surgeons qualified in both dentistry and medicine, in child-appropriate settings with paediatric anaesthetists.
-
Will my child need a general anaesthetic?
Often, yes - and that is usually the kind option. Simple procedures in cooperative older children can be done with local anaesthetic or sedation, but buried teeth, cysts and most younger children are treated under a short day-case GA with a paediatric anaesthetist, which modern practice makes very safe.
-
My child’s adult tooth has not come through - is that a surgical problem?
Sometimes. The commonest culprits are an extra (supernumerary) tooth in the way or an impacted canine drifting off course. A panoramic X-ray answers it quickly, and the fix - removing the blocker or exposing and bonding the tooth for orthodontics - is routine day-case work with excellent results.
-
What is recovery like after children’s mouth surgery?
Most children are eating soft food the same evening and back at school within 1–3 days for minor procedures, up to a week for bigger ones. Expect a puffy cheek and some bruising for a few days. Contact sport waits 2–4 weeks after jaw surgery or fracture repair.
-
How much does private paediatric OMFS cost in the UK?
Consultation £200–£350 and imaging £100–£400. Typical procedures: tongue-tie division £400–£1,500, extractions under GA £1,500–£3,500, canine exposure £2,000–£4,000, and jaw cyst surgery £2,500–£6,000 - all-in with surgeon, anaesthetist and hospital. We confirm firm figures within one working day.
-
What about the NHS?
NHS paediatric OMFS is excellent for trauma and urgent disease, but routine work - extractions under GA, exposures, cysts - commonly waits many months, which can derail orthodontic timing. Families most often go private to hit the orthodontic window or to choose a named surgeon; we coordinate with NHS orthodontists happily.
Related treatments
Looking for something else?
-
Paediatric circumcision
Another children’s day-case, done properly.
Learn more -
Wisdom tooth removal
The adult and teenage wisdom-tooth pathway.
Learn more -
Orthodontics
Braces and alignment, planned with surgery.
Learn more -
CT scan
Cone-beam and conventional CT for jaws.
Learn more -
Pain relief after surgery
Keeping recovery comfortable, at any age.
Learn more -
All tests & procedures
Every test and procedure we arrange.
Learn more