Terms and Conditions

Terms and Conditions – 21D Clinical Limited

Introduction
At 21D, we aim to provide clear information and support throughout your treatment journey. These Terms & Conditions outline what you can expect from us, and what we ask of you, to ensure the best long-term results. They apply to full-mouth/jaw dental implant treatment provided by 21D Clinical. By proceeding with treatment and making payment, you agree to the terms set out below.

Treatment Cost and What Is Included
The full cost of your treatment is £16,995, which includes your full clinical assessment, planning and diagnostics, your implant surgery at our Warrington surgical hub, your implant-supported prosthesis, and all clinical stages required to complete your treatment as outlined in your personalised Treatment Plan.

Your treatment fee does not include the cost of your annual maintenance visits, which are required to keep your warranty valid and charged at £250 per visit. Your fee also does not include any replacement prostheses, repairs or additional work that falls outside the terms of your warranty.

Where Your Treatment Takes Place
Your surgical procedure will be carried out at our dedicated Surgical Hub in Warrington.
All pre-surgery assessments, reviews and post-surgery appointments can be completed at your nearest local 21D clinic.
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These clinics are located in:
• Carlisle
• Darlington
• Leeds
• Warrington (non-surgical site)
• Lutterworth
• Bromsgrove
• Bristol
• Luton
• Guildford
• Colchester
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You may choose whichever location is most convenient for you for non-surgical stages of your care.

21D treatment plans are delivered in staged phases. Patients agree to attend all clinically necessary review and follow-up appointments as advised by 21D clinicians. Where clinically required, patients may be asked to attend the Warrington surgical centre for review, adjustment, or additional treatment, even if their original surgery took place elsewhere. Failure to attend required review appointments may impact treatment progression and may invalidate applicable warranties.
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How Your Treatment Agreement Begins
Your treatment will begin once we have confirmed that you are clinically suitable and your full payment has been received, unless you are using an approved finance arrangement. You will be provided with a Treatment Plan, Consent Forms and our Warranty Document. Together, these documents form the basis of your agreement with us. Treatment must be paid in full before surgery is booked in.

Your Full Clinical Assessment (FCA) is included within the overall treatment cost but is carried out before any payment is made for surgery. If you decide not to go ahead with treatment, or if you are found to be clinically unsuitable, there is no charge for the FCA.
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At 21D, we believe that deciding whether to proceed with full-mouth implant treatment is a significant healthcare decision that should be made without pressure. For this reason, we do not accept payment for treatment, or permit finance documentation arranged through 21D to be signed, on the same day as your Full Clinical Assessment (FCA). Patients must wait a minimum of 24 hours following their FCA before committing to treatment. This reflection period allows you time to consider the information provided, discuss your options with family, friends or advisers if you wish, and make a fully informed decision about whether treatment is right for you.
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Once your FCA is completed, your diagnostic records, scans and treatment planning remain valid for 90 days. If you choose to proceed within this period, your surgery fee will need to be paid before we can schedule your surgical date.
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Once your FCA is completed, your diagnostic records, scans and treatment planning will be collated, and you are able to secure a date for your surgery. Once this date is pencilled in, you have 7 days to pay for the surgery in order to secure that date.
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Why Full Payment Is Required Before Booking Surgery
We understand that paying for your full treatment upfront can feel like a significant commitment. We ask for payment before booking surgery because, as soon as your surgery date is reserved, our clinical and laboratory teams begin the detailed work of your case. This includes advanced digital treatment planning, engineering of your custom long-term prosthetics, ordering components, and coordination of your clinical pathway. Much of this work takes place well before the day of surgery and cannot be reversed once started. Upfront payment allows us to begin this process immediately and ensures your
treatment can proceed smoothly and without delay.
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Access to Diagnostic Materials
Your treatment fee includes your FCA, and all associated diagnostic scans used to plan your implant treatment, including your CBCT scan, intraoral scan and face scan. If you choose not to proceed with treatment and would like copies of these scan files for personal use, a fee will apply to cover the cost of exporting and preparing these digital files:
• CBCT scan file: £150
• Intraoral scan file: £150
• Face scan file: £150
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These charges only apply if you request copies of the scan files themselves and do not apply to standard subject access requests.
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Your Responsibilities During and After Treatment
To support a healthy recovery and long-term success, you agree to follow the post-operative instructions provided to you on the day of your surgery, to maintain excellent oral hygiene and to attend all scheduled follow-up appointments.
You must also inform us promptly of any changes in your health, medication or smoking/vaping habits. Medication prescribed by a 21D clinician must be taken as directed; if you experience any difficulties or side effects, please contact us before stopping or changing the medication yourself, as this may affect healing.
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You must acknowledge and accept that implant-supported prostheses provided by 21D are intentionally designed with a small cleansing space between the prosthesis and the gum tissue. This design supports long-term gum and bone health and accommodates natural tissue changes over time. As a result, prostheses are not fitted flush to the gums and are not routinely altered in response to normal gum remodelling.

Treatment Timelines and Additional Appointments
Dental implant treatment is a complex clinical process and healing times can vary significantly between individuals. While we aim to complete your treatment within the estimated timeframes discussed with you, these timeframes are estimates only and cannot be guaranteed.
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Some patients may require additional review appointments, adjustments, scans, healing time, prosthetic refinements or further clinical stages to achieve a safe and successful outcome. This may occasionally extend the overall treatment timeline beyond the original estimate.
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By proceeding with treatment, you acknowledge and accept that additional appointments may occasionally be clinically necessary, including appointments at our Warrington surgical centre or other 21D clinics where appropriate. Patients should therefore remain reasonably available and prepared to attend further appointments if required as part of their treatment journey.
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You agree to attend all appointments considered clinically necessary by your treating clinician, including any additional review or adjustment appointments required to support healing, implant stability, bite function or prosthetic fit.
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Unless expressly agreed otherwise in writing, 21D is not responsible for costs associated with attending appointments, including travel, accommodation, parking, time away from work or other related expenses.
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Where additional appointments or treatment stages are required due to normal healing variation or clinical need, these will not normally incur additional clinical charges unless clearly discussed with you in advance.

Annual Maintenance and Warranty Conditions
You must attend all annual implant maintenance appointments at 21D to keep your warranty valid. These annual appointments cost £250 each and include essential checks of your implants, prosthesis and supporting tissues, including an OPG xray. The annual maintenance visit must be completed within 60 days of the due date each year. Missing an annual maintenance appointment will invalidate your warranty, although we may use discretion in exceptional circumstances.

We strongly recommend that all implant-related care and maintenance is carried out at 21D. This is because our clinical team is trained specifically in the systems, components and protocols used in your treatment. If dental work carried out by another provider results in damage to your implants, prosthesis or surrounding tissues, this will not be covered under the 21D warranty.
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Your 3-year biological warranty and 5-year mechanical warranty are provided according to the conditions set out in our Warranty Document. The biological warranty covers revision surgery where clinically appropriate, but if our clinicians believe that further surgery is not in your best interests or is unlikely to succeed due to health changes, bone condition or other clinical factors, we may decline to provide further surgical intervention.
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The warranty does not cover any damage or complications caused by factors outside normal use or by circumstances that affect the long-term success of your implants. This includes, but is not limited to:
• Trauma or accidents
• General wear and tear
• Issues arising from smoking or vaping with nicotine
• Poor oral hygiene
• Failure to follow aftercare instructions
• Damage caused by any external dental provider, including cleaning, adjustments, repairs or the use of inappropriate tools on your implants or prosthesis
• Damage caused by chewing hard objects such as pen lids, biting very hard foods such as nuts, bones or ice, sports injuries or accidental impact, and grinding or clenching without using a night guard when one has been recommended.
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On the day of surgery, we also provide our patients with a pack, which includes items such as electric toothbrush, water flosser etc. to help you with your aftercare. These products are given as a gift just to get you started, and are not under any kind of warranty should they stop working. These are all available to buy on Amazon etc. and we can send you a link for these if needed.

Fees, Finance, Cancellations and Refunds
Your fees will be clearly outlined in your Treatment Plan. Finance options are subject to approval by external providers, and if finance is declined you will be responsible for arranging an alternative payment method to proceed.
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If your treatment fee is paid remotely (by phone, online, bank transfer or finance), a 14-day cooling-off period applies under the Consumer Contracts Regulations 2013.
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To ensure your treatment can proceed without unnecessary delay, 21D begins essential planning and administrative work as soon as your payment is received. This may include review of your diagnostics, digital planning, laboratory coordination, component ordering, clinical notes preparation and scheduling. If you choose to cancel your treatment within the 14-day cooling-off period, you will receive a full refund of your treatment fee, regardless of any planning work that may already have been carried out.
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If you need to delay your treatment due to illness, personal circumstances or other unforeseen events, please notify us as soon as possible. 21D will make reasonable efforts to reschedule your treatment. However, where clinical planning, laboratory work or component ordering has already commenced, delays may affect treatment timelines and may result in additional costs. Where there is a significant delay (for example several months), a further clinical assessment may be required before treatment can proceed.
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If you are unable to proceed with treatment altogether due to serious unforeseen circumstances, any payments made will be handled in accordance with applicable legal requirements. Where treatment has not yet taken place, a refund may be provided, taking into account any clinical planning, laboratory work or costs already incurred. Any refund will be made to the appropriate legal representative.
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In the unlikely event that 21D Clinical ceases trading before your treatment has been completed, you will be refunded for any elements of your treatment that have not yet been carried out. All clinical records and diagnostic information held by 21D will be securely transferred to you or to another dental provider of your choice, in line with our legal and professional obligations.
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If you have chosen to finance your treatment through a third-party lender, you may also have protection under the Consumer Credit Act, and you should contact your lender directly for support in this situation.
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Where treatment is funded in whole or in part through a third-party finance provider introduced by 21D, the finance provider may confirm to 21D whether loan repayments are up to date. This limited information may be shared for the purposes of administering the commercial arrangements between 21D and the finance provider. Where repayments are not up to date, 21D may, at its discretion, defer or decline to provide non-urgent treatment or appointments until the account is brought up to date. This does not affect your statutory rights or access to urgent or emergency care where clinically required.
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Data Protection and Complaints
Your personal data will be handled in accordance with UK GDPR and may be shared only where necessary for your care or where legally required. If you have any concerns about your treatment or experience, our complaints policy is available on our website, and we will follow the required standards for responding and resolving issues. If you are not satisfied with the outcome of your complaint, you may refer the matter to the Dental Complaints Service (for private dental treatment) or seek independent legal advice. These terms are governed by the laws of England and Wales, and any disputes may be subject to the jurisdiction of the courts of England and Wales.

General Terms
Nothing in these Terms & Conditions gives rights to anyone other than you and 21D, and if part of this document becomes invalid, the remaining terms will continue to apply. These Terms are governed by the laws of England and Wales.
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If you have any questions about these Terms & Conditions, our team will be happy to talk you through them.