Why do I need to see / refer to a specialist?

Sometimes it is recommended to see a specialist to get an expert opinion, advice about your care or to carry out a particular treatment. Our NHS remains under significant pressure; having the option to see one of our specialists, offers you and your patients an alternative choice; it may also prove more cost effective than other private options, especially if you are uninsured.

Colleagues: If you are significantly concerned about a patient’s diagnosis please continue to use the 2 week rule and refer patients directly to the NHS – cancer is best treated in this environment where multiple disciplines work together.

At Arden House we are able to offer patients a Specialist Service in Oral Surgery. It is most common for your dentist or doctor to recommend you see a specialist, for a particular treatment, although we welcome self-referrals too and you can make an appointment directly.

Specialists, by nature of their work, carry out more advanced treatments within a narrower field; along with their further study and qualifications Jerry and Tom are proficient at managing the more complex or difficult cases such as a difficult wisdom tooth removal or a soft tissue biopsy.

You’re Patients are in Safe Hands

A specialist is a registered clinician who has received additional training and met certain criteria in a particular area; it is a GDC recognisable qualification.

Jerry Farrier is a full time Consultant Oral and Maxillofacial Surgeon at the Gloucestershire NHS Trust. By nature of his post he holds both a dental and medical qualification alongside his specialist consultant surgical training.

Tom Lees is a full time Associate Oral Surgery Specialist at the Gloucestershire NHS Trust and holds a post graduate Diploma (with distinction) in Conscious Sedation, alongside being an approved mentor with the Sedation Training Accreditation Committee.

They have both published numerous papers in various journals, given presentations in their fields and teach both undergraduate and postgraduate students.

Both Jerry and Tom are very familiar with complex cases and treating nervous patients. They can efficiently treat patients, explain diagnoses and of course where appropriate recommend onward care if this is appropriate.

Read more about Jerry and Tom on Meet the Team

What is Oral Surgery?

Oral Surgery is understood as the treatment and on-going management of irregularities and pathology of the jaw and mouth that require surgical intervention.

Oral surgery is frequently performed in a dental practice and often requires only a local anaesthetic; simply having a tooth extracted is a form of oral surgery. However, just like in the medical profession, there may be times when it is beneficial for patients to be treated by a specialist.

What can Jerry and Tom offer?

With their specialist skills Jerry and Tom are able to offer difficult or complex treatments which may be outside the remit of your dentist. With experience in treating many patients they may also assist if you have a complicated medical history. They are able to carry out treatment professionally, efficiently and in a friendly manner, at Arden House under local anaesthetic.

At Arden House with their experience we are able to offer a variety of specialist treatments e.g.

  • Surgical Removal of wisdom teeth
  • Complex extractions, including impacted teeth
  • Soft Tissue checks and biopsies, including the head and neck area
  • Implant placement
  • Salivary gland disease
  • Bone grafts including sinus lifts
  • TMJDS (jaw pain / clicking / dysfunction)
  • Diagnosing and treating Facial Pain
  • Evaluation and treatment of pathologic conditions such as cysts/tumors of
  • the mouth or face, severe oral infections
  • Fraenectomy
  • Apisectomy
  • Oral medicine / conditions affecting the oral mucosa including infections and ulcers

Jerry, alongside his expertise and medical knowledge is also able to offer the full range of facial aesthetic treatments including medical applications.

Why Else Choose Arden House?

We have a free parking right outside our surgery and access to a downstairs surgery should patients not be able to manage the stairs.

IV sedation is also available for nervous or apprehensive patients or those simply wishing to make a procedure a little more pleasant. Please let us know if this is of interest, we wish to make any treatment as comfortable and relaxing as possible.

At Arden House we also have our own CBCT machine. 3-Dimensional images can be taken to help reduce risks, aid diagnosis and plan treatment. We are happy to accept written referrals for patients needing CBCT images. You will receive a copy of the scan and a written report.

We also work closely with the Pathology department of the Gloucestershire NHS Trust in order to provide a histology service to aid diagnosis of any lesions of concern.

Referral Fees

Consultation: £120
Sedation Including Consultation: £279
CBCT with report: £200
Follow-Up: £65

We are open and clear about our fees. Please do get in touch if you would like a copy or further information about specific treatments and the fees involved. We will of course also keep you up to date with the progress of your patient every step of the way.

Make a Referral


Please book an appointment, or contact us either via our contact page or call us on 01242 808386.

Fellow professionals:

Please refer your patient to Arden House by letter or by using the referral form which can be downloaded from the link below. This can be completed electronically if preferred and emailed to reception@ardenhouse.co.uk or posted it to us at Arden House Dental, 232 London Road, Charlton Kings, Cheltenham, Gloucestershire, GL52 6HW.

With any referral please also send any relevant radiographs or scans as you see appropriate.

You can book an appointment for you patient here or we will contact your patient, if we have not already heard from them, to arrange their consultation on receiving your referral. We will of course keep you informed of their progress.