Horwich Dental Care Centre

Highlighting best practice as a representative in The Parliamentary Review

The ability to listen and learn from one another has always been vital in parliament, in business and in most aspects of daily life. But at this particular moment in time, as national and global events continue to reiterate, it is uncommonly crucial that we forge new channels of communication and reinforce existing ones. The following article from Horwich Dental Care Centre is an attempt to do just that. We would welcome your thoughts on this or any other Parliamentary Review article.


Practice Principal StuartGrundy
Wednesday’s team at
Horwich DCC
Horwich Dental Care Centre, based in Bolton, Lancashire,
provides a variety of general and specialist dentistry services.
Practice Principal Stuart Grundy explains that the practice’s
ethical approach is grounded in the use of cutting-edge restorative
dentistry, which means combining the latest techniques and the
latest technology. Stuart tells
TheParliamentary Review
that he
and his team provide a personal yet professional service – one
that always prioritises the best interests of the patient.
I qualified from Leeds University Dental Institute in 1987and joined Horwich Dental
Care Centre in 1992. I became the practice principal and owner in 1995. After
completing an MSc in Cosmetic and Restorative Dentistry awarded by UCLAN in
2010, and a Diploma of Membership of the Joint Dental Faculties of the Royal
College of Surgeons of England in 2014, I undertook a second MSc at King’s
College London in Advanced Minimal Intervention Dentistry.
At the end of year two I was awarded the prestigious Patricia Santos memorial
scholarship prize for clinical and academic excellence. At the end of year three I was
the only student to be awarded a distinction in the qualification.
Challenging convention
Horwich Dental Care Centre has operated independently from the NHS since
2004 and became an incorporated business in 2007. I strongly believe the work
undertaken within the centre exemplifies best practice in the dental industry,
considering the current state of the dental profession to date. Though we operate
in an unconventional manner compared to the wider industry, I believe we are
»Practice Principal:
»Founded in 1962
»Located in Bolton
»Services: Dental practice
»13 staff members
Horwich Dental Care
Highlighting best practice
immensely effective in challenging the
established conventions of modern
We constantly strive to remain at the
cutting edge of restorative dentistry,
continually updating and reviewing
our understanding of the various
techniques involved in the provision
of minimum intervention dentistry
and minimally invasive techniques. We
are one of the few practices in the
country who work under this model,
inspired by my interactions with world-
renowned Australian dentist Dr Geoff
Knight in the early Nineties.
Minimal intervention dentistry is based
on four core pillars of understanding,
these being a holistic approach, patient
centred care, taking a long-term
view and incorporating preventative
strategies. Inclusion of these core
principles has necessitated continued
reassessment and in some cases
rejection of some well-accepted
clinical techniques which still occupy
a place within the traditional dental
community. For example, I have not
felt it appropriate or indeed necessary
to prepare teeth for traditional
porcelain or ceramic veneers (minimally
invasive or otherwise) since 1994.
The majority of procedures we
undertake are provided without the
need to remove tooth structure. A range
of options involving the manipulation of
composite resin materials has allowed us
to dispense with the need for traditional
crowns, veneers, bridges, implants and
root fillings, to the degree that entire
occlusions, including the replacement
of missing teeth, can often be provided
within a single visit.
Minimal intervention,
maximum effect
The theoretical basis of this model and
its practical application has proved
demanding and problematic yet has
ultimately proved rewarding for all
parties involved. It is obvious that if
dental professionals continue to ask
the same old questions they will only
ever come to the same old conclusions.
The question most often asked, “How
long will the treatment provided last?”,
should perhaps more appropriately be
replaced with the question, “How long
will the patient’s teeth survive despite
the treatment?”
The benefits of minimal intervention
dentistry positively impact on the
patient’s experience. Additionally, this
mode of treatment is advantageous in
We constantly
strive to
remain at the
cutting edge
of restorative
updating and
reviewing our
of the various
involved in the
provision of
Before and after – direct
composite laminates
respect of minimum risk and potential
damage related to the existing
structures of the mouth and teeth.
Although a permanent treatment,
it can be changed/altered or even
removed with little damage, as the
patient ages and their face changes, so
maintaining optimum aesthetics and
appearance. This treatment is able to
straighten, strengthen and change the
shape, size and proportion of all the
teeth whilst replacing missing teeth
and altering the patient’s bite without
pain, risk orsurgery as necessary.
The patient’s teeth have an important
bearing not only on their general
health but also their mental wellbeing,
which again holistically equates to
the same. First impressions mean a lot
and if patients are able to confidently
smile, they will feel empowered and
With regard to the implementation
of minimal intervention dentistry, it
has been found that it is currently not
widely considered at a general level
in the healthcare narrative, despite
being theorised since the 1970s. This
means that overall progression of
minimally invasive dentistry has stalled
due to misinformed resistance and
other industry interests, which have
prevented the general uptake across
the board. Overall, the resolute refusal
of practices to use minimal intervention
dentistry has historically harmed both
practitioners and patients alike.
Matching challenges
Historically, our decision to operate
outside the NHS framework was fraught
with problems, which included the
removal of a guaranteed source of
revenue. The main problem we have
experienced over time, however, has
been dealing with the conditions and
constraints of the traditional funding
options offered by the banks. These have
restricted and slowed our development
considerably. However, the main
obstacle has undoubtedly been having
to circumnavigate the acute funding
implications of the Covid-19 pandemic.
Post-lockdown the practice has
been completely reorganised and
restructured. Luckily, with the input
of third-party dental industry sponsors
rather than banks, the practice has been
able not only to survive butflourish.
Other recent developments within
the practice have been to recruit and
implement a team of associates who
are all specifically trained and skilled
to a postgraduate standard. We now
operate as a fully coherent entity where
all practice members share the same
sense of values, ethos and philosophy,
which we feel will carry the remit of the
practice forward, far into the future.
Additionally, we have employed a
professional social media specialist to
help progress our unique message.
All these changes we feel have ensured
that we are now in a position to market
our practice in the most effective way
possible to an increasingly wider client
base. Our overall aim is that we will
continue to strive towards our main
objective, that being to continue
to represent the practice within the
industry as a “leading advocate” of
applied minimal intervention dentistry.
The benefits
of minimal
impact on the
Before and after – direct
composite laminates and
fibre bridgework (13
years post-op)


This article was sponsored by Horwich Dental Care Centre. The Parliamentary Review is wholly funded by the representatives who write for it.