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The truth about British dentistry is that, by some measurements, it's not very good.

From my point of view, the main measurement for how good British dentistry is could be taken to be the PES/WES score.

The PES/WES score is the Pink Esthetic Score, White Esthetic Score matrix that was designed by URS BELSER at the University of Geneva to assess anterior aesthetic implant cases.

In essence, the PES/WES score scores your anterior aesthetic cases out of 20, 10 for pink and 10 for white.

On the pink side, there are five different categories you can score, which score 0, 1 or 2. The same applies on the white side.

A perfect score (very hard to get, really) would give you 20. A good score would be something like 16, but if you average British scores, they score somewhere around 11 to 11.5.

We ran a study of consecutive anterior implant cases twice at the clinic.

We followed approximately 13 cases over a long period of time (still following), provided an analogue and provided the same amount in digital to see if there was a PES/WES difference.

We were scoring around 15 on average for our PES/WES scores, and there was much room for improvement, but if you think about the average in the United Kingdom, it was almost 33% less.

It's very easy to judge your own anterior implant cases in this way, and it's very easy to get the reference (hit reply and I'll send it to you). You can count your cases or, better still, you can ask someone else objectively to count your cases, and then you can decide how to make them better.

The surgeon's score is the pink score. That's the pink tissue and the creation of hard and soft tissue harmony.

The prosthodontist's score is the white score, the prosthodontist working with the laboratory to put something in place which looks exactly like a white tooth into the perfect pink surround.

It means you need to get propeller, it means you need to get emergence profiles, and it means you need to get volume.

In order to do this, it takes time, sometimes multiple crowns, effort, planning, execution and, of course, money.

If you try to do it fast and quick and don't care, you can do it much cheaper, but your PES/WES score will suffer.

I was quite fascinated by this for quite a while when I was first introduced to it by Danny Buser at the University of Bern, and I went to the anterior aesthetic course at Bern, which was provided by Danny Buser and Urs Belser, and that's where I first learned about it.

Our clinic does strive for excellence in many ways, but we still understand that there is a balance between commercial viability and the pursuit of perfection; the truth is you can't understand that until you've seen what perfection looks like.

That's one of the reasons that we asked Óscar González to come back to Nottingham for the second time in January 2027.

Óscar is one of the best exponents of the provision of anterior implant dentistry in the world.

(He's also one of the most expensive to book.)

He is a wonderful person, a lovely guy who practices in his own practice in Madrid, but travels almost every week, internationally and globally, to talk about how to get results closer to a PES/WES score of 20.

It's impossible to know where you're going without a map, and Óscar will give you a map.

He'll also give you the inspiration to be extraordinary, if you care to go through the effort to get there.

If you want to improve what things look like at the front of the mouth for your implant patients, Óscar is the person to see.

Find out more about the course here.

Blog Post Number - 4697