Looking after your dental implants

While dental implants are much easier to look after than other kinds of restorations such as dentures, this does not mean that once they are in and fused with your jawbone, you can forget all about them.

Dental Implants in MaryleboneDental implants are made of titanium, a strong, lightweight material that does not rust or corrode. The porcelain crowns cannot decay. But there is one mortal enemy of dental implants and that is gum disease. Gum disease is caused by a build-up of plaque, which gives off acids that attack the gums and then the bone underneath the gums if it is left uncontrolled.

When this happens to dental implants, we call the condition peri-implantitis. It is something you want to avoid and the best way to do this is to have a diligent oral healthcare routine at home.

When you have your dental implants fitted at David Madruga in Marylebone, you will be given specific instructions on how to take care of them and what your oral healthcare routine should now be. It is important that you follow these instructions.

Part of the instructions are to come back for regular hygienist sessions to remove plaque, and check-ups to make sure all is well with your dental implants.

It can sneak up on you

Peri-implantitis can sneak up on you, just like gum disease. You may not register any pain, or feel any unusual lumps or bumps with your tongue during the early stages. But by the time you do feel pain or can feel anything with your tongue, you could be in trouble.


At David Madruga, we will keep an eye on your dental implants with examinations that will include the use of x-rays so that we can see what is going on under the gums.

If there is a problem, and we catch it early, we can normally solve it with some minor remedial treatment.

We may update your healthcare instructions after each check-up, so please stick to the new instructions.

If you stay true to your cleaning routines and check-up schedules, there’s no reason why your dental implants should not last for at least 15 years, and maybe for decades.

The dental implant process

Getting dental implants is not just a quick in and out and Bob’s your uncle. If you decide to go for this method of tooth replacement, you are looking at a series of appointments stretching out over a matter of months rather than one simple appointment.

Dental Implants in MaryleboneThe consultation

The first stage when you decide to get dental implants in Marylebone with David Madruga is to come in for a consultation. David will make a thorough examination of your teeth and jaw, including beneath the gums to find out what condition your jawbone is in. This means x-rays and scans. If your jawbone is strong and healthy, David will go ahead and put together a careful plan to site the implants, avoiding any nerves or blood vessels.

Preparatory treatments

If your jawbone needs help before you can have implants, David can carry out a bone graft or a sinus lift. Both treatments add extra bone material into the jawbone to strengthen it and get it back to renewing itself rather than being in a process of resorption. This can add several weeks to your treatment time.

Implant surgery

This is carried out under local anaesthetic, and if you are nervous, you can also have either oral or intravenous sedation to help you deeply relax throughout the surgery. Placing the implants involves opening up the gum and creating new implant channels in the jawbone. This has to be done carefully.


This is a crucial part of the dental implant process. It takes 2-6 months, depending on your body’s healing speed, for your jawbone to bond with the implants by growing new tissue all over them. By the end of the process, the 2 will be fused together. During this time, you will gradually move from a liquid diet to a soft food diet.

New crowns

When osseointegration is complete, you can have new handmade porcelain crowns fitted. These will match your other teeth in size, shape and colour.


Twice daily brushing, daily flossing, regular hygienist cleanings. This is all you need to do to maintain your dental implants. Do this diligently and they could last for decades.

So fast these days

Dental implants may have been around for more than 30 years but the innovations keep on coming, and we love sharing them with you at David Madruga in Marylebone.

Immediate Placement for Dental ImplantsOne of the biggest frustrations with having dental implants fitted has always been having to wait so long between appointments for healing to happen. In the past, it took about six months between having your dental implants fitted and getting the porcelain crowns put on. This was so that the implants could have plenty of time to integrate with the jawbone, and the time it takes for the two to integrate is still vital to the success of dental implants. Things could take even longer if teeth had to be removed first, which meant more healing time.

However, for many people, especially super-busy Londoners and people who work abroad a lot, having to have several appointments before the process was finished could make life very complicated.

Now it is possible to have immediate placement for dental implants. This means that if you do need have to failing teeth extracted before replacing them with dental implants, we can do that first and then follow up immediately with inserting your dental implants. We can even put on your crown straightaway, so that you walk out with your new tooth already in place. That can save you 6–9 months of healing time.

You still have to heal

Don’t be fooled though. You still need to allow your implants to heal into your jawbone. This means being very careful and starting off on liquid foods for a good week before progressing to soft foods and then slowly, over time, introducing more challenging foods.

You may perhaps also be able to take advantage of our technique that uses protein rich in growth factors (PRGF) spun out from your blood to speed up the healing time. Ask us if this is possible.

So many ways to use dental implants

Dental implants can be used to replace any number of teeth from a single knocked-out tooth to a whole arch. One implant can support up to three teeth, and we have great techniques for whole arch replacement that reduce the number of implants required.

Dental implants maintenance in Marylebone

If you have had your teeth replaced with dental implants from David Madruga – congratulations! You now have new teeth to enjoy. Once the healing phase is complete, you should experience all the functionality and aesthetics of a natural smile. All you need to do now is make sure that you take steps to maintain your dental implants according to instructions from a member of our team.

Dental Implants Maintenance in MaryleboneCheck-ups

Directly after treatment, you will have frequent check-ups to ensure that healing is taking place as planned. Once this period is over, you simply need to visit the dentist for your regular check-ups and if you ever have any issues. We keep a close eye on your dental implants, as well as any remaining teeth, to ensure a continued state of health.


When you visit David Madruga for your dental implant maintenance, we may also offer you a clean and polish. This is to remove any plaque or tartar which has built up on your teeth. Even though your prosthetic teeth will not decay like natural teeth, debris can still accumulate and this puts your gums at risk.


As long as your mouth is healthy and there are no other unexpected issues, your dental implants should last a long time. This means a lifetime in some cases. However, the attached teeth may need replacing from time to time. How often depends on where they are in your mouth as different areas experience varied forces during chewing. There is also some variation in longevity depending on the type of material your replacement teeth are made from.

Dental implant maintenance is simple and non-invasive. Your dentist can give you more details on repairs and restorations as they become necessary.

At home

All that being said, the most important care for your dental implants takes place at home. Your dentist at David Madruga is there to support your efforts. We can give you advice about the best techniques to use, how to adapt your normal dental hygiene routine and what you should expect to see and feel as you get used to your dental implants. You need to take note of all this information and follow it to the letter for best results.

It’s all part of the process

People often wonder just what goes on during the dental implant process. In Marylebone, at David Madruga, we make sure our patients fully understand what the dental implants process involves because it requires a certain amount of commitment.

Let’s take a look at what goes on with a very simple single dental implant insertion.

Dental Implants in MaryleboneThe consultation

During your consultation, Dr David Madruga Gonzalez will thoroughly examine your teeth to make sure that you are able to receive dental implants. The main thing he will be looking at is your jawbone in the area where you lost a tooth. It needs to be strong and dense in order to be able to withstand the strong forces created by biting and chewing without the implant coming loose. If you have been missing a tooth for quite a while, chances are that there will be some deterioration in the bone in that area. If so, you may need to have a bone graft, a sinus lift, or cheek implants to fix this.

If you are a smoker or have uncontrolled type 2 diabetes, it is going to interfere with your healing, so you will have to give up smoking and get the diabetes under control before you can have dental implants.

The surgery

This is performed under local anaesthetic, with either oral or intravenous sedation if you are anxious. There is not much pain because there are fewer nerves in the jawbone. Once the dental implant is in place, it takes about two months for the titanium post to integrate with the jawbone in a process called osseointegration. The implant stimulates the jawbone to grow new tissue all over it, to holding it in place like a natural tooth root.

Your new teeth

After osseointegration, you come back and Dr Madruga Gonzalez fits your new custom-made porcelain crown. And after that, you are good to go.


You need to take good care of your implants with regular diligent cleaning to remove plaque. If it builds up enough to cause gum disease, this can lead to your implant becoming loose. If you take good care, however, your implant can last you for the rest of your life.

A new future for your teeth

Our natural teeth tend to do their jobs with minimal fuss. They enable us to bite into food, chew it, and display a nice smile afterwards. When we lose them, we realise how much we relied on them. Temporary replacements can mimic the appearance of lost teeth, but they often don’t perform as we’d like them to, and they can be awkward to maintain.

Dr David Madruga Gonzalez has been solving the problems caused by missing teeth for many years. At his practice in Marylebone, advanced dental implant technology allows him to replace lost teeth with fully-functioning substitutes. These contemporary teeth fully integrate with your jawbone in a process called osseointegration. This means your replacement teeth have a long-lasting stability that temporary replacements can’t provide.

Dental Implants in MaryleboneLasting changes to your dental experience

Having dental implants can transform your quality of life. If you’re used to wearing dentures, you can wave goodbye to the messy adhesives that keep them in place. Once your implants are installed in your mouth, that’s where they’ll stay. You can relax and enjoy yourself at the dinner table, focussing on the deliciousness of the food without the nagging worry that your teeth might come unstuck and cause embarrassment.

Another advantage of this procedure is that it will help to keep the underlying firmness of your facial appearance. One of the effects of long-term temporary denture usage can be a deterioration in the face’s bone structure. After many years of this, you might develop a sunken, unhealthy appearance. Dental implants engage with the bone structure, ensuring it maintains its natural density.

A range of applications

It’s not just decay that leads to the need for new teeth. You can lose one suddenly, for example while playing sports. Implant dentistry will replace this lost tooth with one that looks and feels natural.

Dr David Madruga Gonzalez will talk you through the details of this life-changing procedure in a relaxing consultation. Careful dental measurements are taken to maximise the effectiveness of your treatment. After the work is done, you’ll be able to enjoy the oral health benefits for decades to come.

Immediate placement dental implants in Marylebone

Following years of development and dental practice, dental implants are now part of routine dental therapy and should be considered as an option in every treatment that requires tooth replacement. Unlike other tooth replacement options, dental implants replace missing teeth permanently and restore your oral function.

At David Madruga, we are pleased to offer immediate placement dental implants in Marylebone. Tooth extraction followed by immediate implant placement is now a viable option. This treatment is ideal for patients who want to avoid further bone loss and reduce surgery time and expenses.

Immediate Placement Dental ImplantsWhy choose dental implants?

Dental implants are small titanium posts that are surgically inserted into the jawbone to replace missing tooth roots. Once in place, they tend to fuse with the jawbone and encourage the growth of new bone tissue. Unlike conventional dentures and bridges, dental implants restore your biting and chewing power to its full potential and look and feel just like your natural teeth.

Implants are a safe and effective treatment for patients who wish to replace their missing teeth permanently. Much like natural teeth, dental implants will last for as long as take good care of them.

Immediate placement of dental implants

In some cases, dentists are able to remove a failing tooth, fix a dental implant into place on the same day and restore the dental implant with crown or other restoration in the same day. This way, patients don’t have to wait for long periods of time for the bone to heal, before they have their restorations placed on top of their dental implants.

Immediate placement and loading of dental implants is a fairly new procedure in implant dentistry and does not apply to all patients. In order to be eligible you need to have sufficient bone to ensure implant stability, good health and a lack of habits such as smoking.

Immediate implants are ideal for single tooth replacements, especially for patients who have lost or broken a tooth due to an accident or trauma. The procedure is quite simple and our dental team will give you instructions on how to look after your implant.

All you need to know about dental implants maintenance

Unlike other tooth restoration treatments, dental implants can last years, decades or even a lifetime if they are properly cared for. Dental implants are made of a strong and durable material, titanium, which is compatible with the human body. Once in place, they fuse with the jawbone and encourage the growth of new bone tissue.

Even if you need to change the replacement teeth on top of your implants, you can rest assured that your dental implants will last for a very long time if you follow some simple maintenance guidelines. At David Madruga in Marylebone, we are here to help you take care of your dental implants and monitor their progress. Dr David Madruga, our lead dentist, has a special interest in implant restorations and is passionate about providing his patients with the best dental care.

Dental Implants MaintenanceMaintain your dental implants at home

On the bright side, dental implants are very easy to maintain – as a matter of fact you can treat them just like your regular teeth. Just brush and floss like your natural teeth at least twice a day. However, beware because brushing and flossing too hard around your dental implants can cause receding gums. Dr Madruga will demonstrate to you the proper brushing techniques for dental implants. Any medium or soft toothbrush will do, but you purchase a special toothbrush specifically designed for dental implants maintenance if you wish.

If you have suffered from gum disease in the past or you have controlled diabetes, your dentist will recommend an antibacterial mouthwash as well. However, do not use mouthwash unless you ask your dentist, as some brands contain harsh chemicals that can be damaging to your gums. Soft tissue maintenance is important for the preservation of your dental implants.

Dental check-ups and cleanings

Another important thing to remember is to visit the dentist regularly for dental check-ups and cleanings. Your dentist will examine your dental implants carefully and monitor their progress over time. They will also examine the gums around your dental implants for signs of gum disease. Professional cleanings will also help your implants remain strong and healthy for longer.

Nervous dental implant patients in Marylebone

Dental implants are a great way to replace missing teeth due to their many benefits, but what if your dental phobia is the reason you lost your teeth in the first place?

At the practice of Dr David Madruga, the goal is for patients to feel calm, comfortable and safe. Dr Madruga leads a highly-experienced team in the field of conscious sedation and has successfully helped to develop many conscious sedation referral clinics across the UK.

Nervous Dental Implants PatientsHe is a firm believer that everybody deserves a healthy and beautiful smile, which is why he offers treatment under sedation for patients who are afraid of the dentist.

Common causes of dental phobia

Dental phobia is a very common issue among patients, and many people will attribute their dental fear to a past, bad experience. For many patients, fear of the dentist is associated with bad childhood memories. However, a bad experience is not the only reason for dental phobia. Sometimes, fear of the dentist is associated with prior negative experiences as well as an embarrassment over the condition of one’s teeth and mouth.

Dr Madruga will pinpoint what he thinks is causing your fears and talk about it in order to ease your concerns. He will never judge you – on the contrary, he will go the extra mile to ease your fears and help you achieve optimal oral health. If your fear has led to tooth loss, or your teeth are too badly damaged to be restored, dental implants may be the ideal solution.

Implant operation

Operation for dental implants is quite simple. Your dentist will attach the dental implants in your jawbone with a minor operation here at our Marylebone practice. Once in place, dental implants fuse with your jawbone, acting as tooth roots. After a healing period which may last a few weeks, permanent new teeth will be attached on top of your dental implants.

Treatment under sedation

Dr Madruga offers conscious sedation which is unlike any anaesthetic you have received in the past. Using either oral or intravenous sedation, you will be awake during the operation, feeling very relaxed and not experiencing any pain or discomfort. Conscious sedation is very safe and is only administered by our experienced dentists.

Full mouth dental implants

Many patients wearing dentures frequently complain about a lack of confidence in smiling and eating. This is due to the worry that their dentures will move or even worse, fall out. This can be made worse when there are not enough remaining teeth to help fix and hold a denture in place.

dental-implants-in-maryleboneThe latest solution is to have dental implants here at David Madruga in Marylebone in Central London, to hold dentures firmly in place, creating your full mouth rehabilitation using fixed implant dentures. They can immensely improve chewing ability, stability and help prevent bone loss while promoting denture comfort. Comfort can increase as the denture itself can be much smaller than a conventional denture.

Also, as the denture can gain support from your gums, only half the number of implants are needed to support the denture when compared to a partial implant bridge, which can be a significant saving in costs.

At David Madruga, we believe that dental implants can be more aesthetically pleasing and easier to maintain than traditional dentures. The loss of bone that accompanies traditional dentures can lead to the collapse of the jawbone and an unattractive smile, as well as making it difficult to eat certain foods.

The procedure

Firstly, your dental implants, which look like little screws, are placed into your jaw. Then, over the next two to six months, the implants and the bone can bond together to form anchors for your artificial teeth. This is called the osseointegration period.

A second step of the procedure is necessary to uncover the implants and attach extensions. These temporary healing caps, along with several connecting devices that allow multiple crowns to attach to the implants, complete the foundation on which your new teeth will be positioned. Your gums will be allowed to heal for a week or two following this procedure.

Finally, full bridges or full dentures will be created for you and attached to little metal posts, called abutments. After a short amount of healing time, you will experience restored confidence in your smile and your ability to chew and speak once again.

Every case is different so your dental professional at David Madruga will work with you to determine the best treatment plan for you.