Dental Blog - David Madruga Gonzalez

How we help nervous patients at our dental clinic

Many patients want to be proactive about their dental health but find that their dental anxieties keep them away from the dental chair. Dental anxieties are quite common, and there are many causes for these fears. Patients may have had traumatic experiences in the past, and some may even be embarrassed with the state of their oral health.

For such patients, there is a great risk since not getting routine checkups or preventive dental care increases the chance of them requiring major dental treatments at some point or losing their teeth altogether.

At our dental clinic, we understand the hesitancy of nervous patients Marylebone in seeking dental care, which is why Dr David Madruga has established systems of support to help and encourage them. Not only do we offer a wide range of quality dental care to keep smiles happy and healthy, but we also offer compassionate care that accommodates nervous patients Marylebone with conscious sedation methods.

Dr David Madruga is a vastly experienced dental practitioner in the field of conscious sedation and has helped set up a number of conscious sedation referral clinics throughout the UK.

How can conscious sedation help nervous patients Marylebone? Read on to find out.

The benefits of conscious sedation

Conscious sedation methods have been found to be incredibly effective in addressing the numerous common causes of the fear of the dental chair. With conscious sedation, patients can get the professional dental help that they need, whether this is to find relief from pain, protect their oral health, bite and chew better or gain confidence from having a great-looking smile.

Patients may be familiar with the general anaesthetic that is administered in hospital settings, but conscious sedation is different. The sedating medication can be administered in one of two ways: orally or intravenously. With this type of sedation method, patients remain conscious but are fully relaxed. The extent of this relaxation is so much that patients are completely unaware throughout the treatment, registering no pain or anxieties.

Conscious sedation is deemed safe to be used in dental settings and should only ever be performed by dentists with the required real-world experience in this technique. There are undoubtedly many benefits to receiving conscious sedation, one of which is that nervous patients can receive much-needed dental care.

Patients interested in conscious sedation should take note of a few important implications. Due to the relaxing effects of the sedatives, patients may experience dizziness following treatment, which would rule out them driving themselves home. Therefore, we recommend that patients ask a relative or friend to pick them up after the appointment. Our dental practitioner may have further post-procedure instructions that should be carried out.

There is every reason for a nervous patient to celebrate the availability of conscious sedation. During a consultation with Dr David Madruga, patients must inform us of their dental fears so that we can look at all the suitable options to give them the proper care they deserve. Reach out to our front desk team to find out more about the conscious sedation methods we offer.

Give your smile the love it deserves, through a full smile makeover in Marylebone

Time to shine

Here at David Madruga, we believe wholeheartedly in the power that a beautiful, healthy-looking smile holds.

We also recognise that the past year hasn’t been one of many smiles, given the circumstances – which is why we are now advising anyone that feels their smile could do with a professional once-over to visit our practice for a full smile makeover Marylebone.

The better your smile looks, the more you will be inclined to use it – and the more you use it, the better you will feel. This is our philosophy and something which we believe our years of crafting beautiful smiles has confirmed time and time again.

What is a full smile makeover Marylebone?

A lot of the patients who visit our practice here at David Madruga are unhappy with how their smiles look, but may not have an exact idea of what treatments are available to help them overcome their cosmetic concerns.

This is why we offer a full smile makeover Marylebone, which makes use of a huge range of cosmetic treatments which are tailored to the individual receiving them.

As no two smiles are the same, we always take a bespoke approach to every full smile makeover, whereby the patient’s needs are first assessed during a consultation before a customised treatment plan is established.

Your smile is a vastly important social asset and is often the first thing that people notice when they meet you – which is why its aesthetics are something to be cherished and cared for.

If you have teeth that are obviously stained, chipped, missing altogether or disjointed this can change how others perceive you and have a knock-on effect that impacts all aspects of your life.

Rather than deliberately hiding your smile away, by contacting our experienced cosmetic dental team here at David Madruga and arranging a full smile makeover consultation you can set yourself on the right track to a brighter and healthier looking smile – which in turn, can massively improve your self-esteem and inner confidence.

What sort of cosmetic treatments do you offer?

The first step on every patient’s smile makeover journey starts with having their needs determined by one of our cosmetic experts.

This involves a consultation and dental examination to gauge what type of cosmetic treatment is best suited to the patient’s individual needs.

One of the most popular cosmetic treatments we offer to patients who are undergoing a full smile makeover are porcelain veneers. These are thin ceramic shells that are custom-built for every patient, and bonded over their existing teeth to give their smile a cohesive freshness.

Veneers are extremely popular due to their ability to treat a number of problems at once, such as crooked or out-of-place teeth, as well as teeth which are discoloured or stained.

Alongside veneer treatment, another popular cosmetic procedure that we regularly provide as part of our full smile makeover service is teeth whitening – which is a cosmetic procedure that aims to brighten the visible whiteness of a patient’s smile through a fast-acting peroxide bleaching gel.

Anybody who is interested in discovering what our full smile makeover service can do for the aesthetics of their mouth should waste no time in calling us here at David Madruga today and book themselves in for a consultation.

What is an immediate dental implant?

When it comes to dental terms it is important to understand what is meant by the term dental implant. Simply put the procedure involves replacing an existing tooth and root with a metal post topped with an artificial crown. This procedure can fall into two categories, delayed implant or immediate dental implant placement Marylebone. Delayed is when the new post is left to heal within the jawbone and then the tooth is inserted after a specified time has elapsed. Immediate is when the new post and tooth are inserted immediately after the original tooth has been removed. David Madruga provides both categories depending on a patient’s suitability for either of these treatments.

Can anyone have it?

We are not all made equal and because we are all different an individual approach is required when considering any treatment, especially dental. There are many things that a dentist has to consider when deciding on a patient’s suitability for implant treatment. Some people have thinner gums, others have an uneven gum line. Patients who smoke or who have underlying health conditions may require bone grafting. It may be better for these patients to rather consider the delayed dental implant option.

Dental implant procedure

The dental team will conduct a thorough examination of a patient’s mouth, teeth, gums and jawbone by X-ray and a complete 3D scan. Modern technology allows our dentist to calculate exactly where the new tooth is going to be fixed. It is vitally important to get the location precisely in the right place. If it is necessary to remove a decayed or broken tooth our dentist will apply local anaesthetic and remove the tooth and root. If the tooth is already missing our dentist will make an incision in the gum and drill into the jawbone to the desired depth. A titanium post is then screwed into the bone which replaces the root of the original tooth. An abutment is then fixed to the top of the post, this is the same colour as the tooth or crown which will be fitted onto the abutment.

What are the advantages of immediate as opposed to delayed implants?

Once a full assessment of the results of the examination and data has been concluded, the patient is advised as to the most advantageous course of treatment. It is at this stage that a patient will be advised if immediate dental implant placement Marylebone treatment is the correct route to take. If this treatment is recommended there is no need for a patient to have to wear a partial or full denture during the healing process. There are also fewer dental return visits required and because the abutment is placed at the time of the surgery there are no sutures that require later removal. All of this saves the patient time and is particularly useful if it’s a front tooth that requires treatment and a big event, like a wedding is imminent.

Implant aftercare

With immediate dental implant placement Marylebone it is recommended that aftercare should be no different than caring for original teeth, we advise that a softer bristle brush is better. The normal twice daily brushing and flossing regime with regular six monthly dental visits will ensure that the implants and natural teeth will stay healthy.

Achieving your winning smile in one appointment with Same Day Teeth Marylebone

The impact of tooth loss.

When the natural smile has suffered and disappeared, it does not mean all is lost. Whilst hiding behind the face mask may seem like an easy fix whilst society can hide their smiles, there is no need to hide or avoid the issue. Whether cosmetically the loss of the tooth seems unimportant or whether it is a matter of time, ignoring the loss of a tooth or multiple teeth can not only impact the surrounding teeth in a negative way, but in time, the jaw bone can recede creating a reduction in your facial definition. Whilst this may not happen overnight, the more time the area is left untreated, the more problems that are likely to occur as a result of the initial tooth loss increases greatly.

What can be done?

Dental implants are just one of the excellent ways to replace teeth to replenish and restore a healthy beautiful smile. These small titanium posts are inserted into the jaw bone and provide a secure and stable post for the replenished or restored tooth. Whilst this may sound rather invasive and complicated the process is carried out on a regular basis and with advances in both dental knowledge and technology, tooth replacement can now occur within one day. Walk-in with gaps in your smile and leave with a replenished smile with the Same Day Teeth procedure.

How does Same Day Teeth Marylebone work?

Traditional dental implants are often inserted and left to heal over several weeks before completion of the restoration occurs. Whilst this treatment time is suited to the traditional implant method, Same Day Teeth Marylebone uses fewer implants and therefore the replacement of the upper and lower teeth in full is entirely possible in just one appointment.

The number of implants used depends entirely on the quality and quantity of the jaw bone and whilst traditional implants may require bone grafting or reconstruction, the angling of the implants for the same day method can ensure that extensive bone work is not required. Once the implants are inserted into the jaw a fixed bridge can be attached to them securely ensuring your beautiful smile remains as natural as physically possible.

How long does the treatment last?

Whilst each individual case is entirely different, Same Day Teeth Marylebone smiles have been known to last as long as 5 years. There are many variables that can affect the length of time any treatment or procedure lasts which need to be understood and that can vary from overall oral hygiene standards carried out at home, to existing bone structure through to whether or not accidental damage occurs. All these daily aspects can affect the duration of time the treatment works which is why it is always done to the individual case. It is important that all patients understand that all dental treatments and procedures can carry potential risks. It is therefore advised that further information and advice is discussed by the patient with their local dental to ensure they fully understand the extent of each method before undergoing treatment.

Maintaining dental implants and ensuring their longevity

There are many reasons for seeking out information on dental implants but one of the top ones we have seen is from our patients trying to maintain their dental implants in Marylebone, whether they are concerned about food becoming trapped beneath their implant or general care for their implants.

A lot of the concerns that are brought forward by patients are fears about food particles becoming trapped, either beneath the gum line or along the titanium implant, into the jawbone. In short, there are concerns that these issues will cause abscesses, which are the cause of the majority of root canals.

It is an understandable worry when thinking about implants, as many of our patients are using implants to immobilise prosthetic teeth, like bridge sections or a full denture. One of the recurring problems with both of these is that food gets trapped beneath them, but they are easily removed and cleaned. But this simple removal is not possible with implants.

Single implanted teeth

In cases of single implanted teeth, the artificial titanium root is osteo integrated into the jaw creating an extremely close association between the titanium and your bone. This is actually far closer than the association found in a natural tooth root and the jawbone, leaving no opportunity for food to enter the jawbone around the edges of the implant. When this occurs with natural teeth, there is usually some form of decay or damage to the root which allows food to enter, which cannot happen with the inert titanium implants.

Implant immobilised dentures and bridges

When a denture or bridge is immobilized with an implant, a gap is maintained between the start of the prosthetic and the surface of the bone. This is to allow the gums to be maintained, as if the prosthetic was permanently affixed to the surface of the gum, this could cause long-term issues. In this gap, it is possible to trap food particles and it requires diligent cleaning. Usually, this can be achieved with a mixture of mouthwashes and a water flossing jet system.

If you are struggling with food becoming trapped under an immobilized denture, please feel free to get in contact with our clinic. After a brief check up, our dentist will be able to advise you on your personal situation and how best to resolve it.

As part of regular dental care, you should attend dental hygienists even if you have a complete set of immobilized dentures. Our hygienist is more than capable of thoroughly cleaning beneath a denture without having to disconnect the dental implants in Marylebone.

For the majority of patients, maintenance of dental implants in Marylebone is minimal to none and is extremely similar to the maintenance of their natural teeth with regular brushing and 6-month check-ups. After full integration has been achieved, most dental implants will have a useful life of over 10-years. Due to the stain resistant materials used in prosthetic teeth, if you have a mixture of natural and implant immobilized teeth, they may pick up stains at different rates causing their colour to alter relative to the rest of your teeth. This can be resolved with teeth whitening or regular scale and polishes.

What is a sinus lift Marylebone?

For those individuals who have been informed that they may need a sinus lift Marylebone, it might be helpful to obtain a little information regarding the procedure and what needs some individuals have to receive one.

This treatment is usually a precursor to the popular dental implant options that are offered to a wide range of patients. However, it is mainly used for those who have lasting damage caused by having missing teeth for an extended period of time or have been wearing dentures for long enough that they have begun to slip and slide around in their mouths.

The reason why complications can arise after extended periods of time without substantial support from natural teeth is due to the occurrence of jaw bone recession. This is a normal side effect however the implications of this can be devastating.

Put simply, when you lose your natural teeth, your jaw bone is no longer stimulated as it usually is. Even if you replace your missing teeth with dentures, as these sit on the gum and do not penetrate any further, the jaw bone is not stimulated as it should be and therefore begins to recede.

It does this because your body is not receiving the signals telling it that your jaw bone needs to remain as strong as it once was. Energy is put into other areas of your body and the jaw slowly becomes more porous, weaker and cannot sustain the pressure that it once did.

There are many reasons why people begin to experience jaw bone recession in addition to losing their teeth. Some examples are smoking, age and even genetic disposition all playing a part in this natural process.

There is a treatment option available

If you’re looking to enjoy the benefits of dental implants but find that you are experiencing jawbone recession, then a sinus lift Marylebone is your solution.

We use a sinus lift Marylebone as a treatment prior to your dental implants procedure to strengthen your jaw bone and ensure that there is enough density to support the subsequent implants. We do this using either animal, human or synthetic tissue and physically add this to your jaw then allow it to bond and heal. This is a relatively minor procedure that can be performed locally and is only used in conjunction with a dental implants treatment so you need to be physically able to be viable for such treatments.

Who might not be physically able?

There is no upper age limit, but we do ask that you are in reasonably fit health in order to heal from this minor surgical procedure. This means that you do not have any underlying health conditions that will affect you negatively. Although we work on a case by case basis, it is important that you are looking after yourself as well as this includes whether you are a smoker or not.

Because smoking greatly increases the chances of infection, jaw bone recession and mouth sores that are difficult to heal, we would ask that you significantly reduce or eliminate smoking prior to these treatments in order to experience a greater chance of success.

We welcome nervous patients

We understand that attending the dentist can be a daunting process and that is why we want to make sure your visit to our practice is as welcoming as possible and puts you at ease. If you require a practice that specialises in nervous patients Marylebone then we might be the practice for you. We understand that you may be nervous about getting the treatment that you need but that should not stop you from getting the help that you need. We have an experienced team behind us who understand the reason why patients may be nervous about attending their dental appointments. We understand that you might be scared due to a bad experience you had in the past. We also understand that a dental practice may not be the place that you are most comfortable. We want you to be as comfortable as possible!

Our team is also committed to putting measures in place for you so you can get your treatment without anxiety affecting the outcome of the treatment. This article will run though how we can help our nervous patients as well as how they can get in touch.

What measures can you put in place for me?

If needed we can help you access the dental assistance you need. We can also help with the service of conscious sedation so you can get the help you need. Conscious sedation allows you to be awake during the treatment but to be in a relaxed state. You will not feel any pain during this treatment and you will be comfortable and without nerves. Patients can be assured that nervous patients Marylebone who are treated under conscious sedation are perfectly safe. The method has been tried and tested. If you do have treatment under conscious sedation you will need to bring someone to take you home as well as staying with you just to make sure you’re okay as you may feel woozy for a time after the treatment. If this sounds like a good way for you to access your much needed dental treatments then you should read on to the next section to see how you can get in touch.

What should I do next?

If you are a nervous patients Marylebone, then you should consider getting in touch with us here at the David Madruga practice. You can browse our website to get to know us as a practice. There you will find more details about the support we offer our nervous patients as well as the number of high quality treatments we can offer you. If you have any questions or would like to pursue a treatment with the help of conscious sedation then you can get in contact with us so we can begin to put measures in place to support you. We are always welcoming of new patients and want them to get the best out of their dental care. Past patients have felt very at ease when it comes to accessing treatments through conscious sedation. Why not get in touch with us today? We look forward to hearing from you!

Cosmetic solutions for full mouth rehabilitation Marylebone

A lot of our patients are unsure what they need to do to improve the appearance and feel of their smile so have no idea where to begin. That is where we come in. We offer our patients full mouth rehabilitation Marylebone with a variety of different cosmetic treatments that are designed to target the issues that you present with and nothing more.

Your situation is as unique as you are and we are determined to provide you with an individualised treatment plan that honours exactly this. Having a perfect smile is different for everyone, although we understand that there are several key factors that determine a healthy and beautiful smile for most.

These features involve having straight, even and white teeth, with many people associating these elements of a smile to attractiveness, honesty and intelligence. Although we are aware of the detrimental impact of judging one another and many of us actively try to avoid this behaviour, there is still an element of unconscious bias that is difficult to remove in society and in particular, when we judge ourselves as well.

If you want to stop thinking about how your smile looks and simply feel confident with sharing it with the world, then our team can offer you many solutions with our full mouth rehabilitation Marylebone.

What are some of the treatments available?

Some of the treatments that will be suggested to you during your consultation for your full mouth rehabilitation Marylebone will all depend on your personal situation. Within the broad treatments that can change your smile dramatically, which involve teeth straightening, teeth whitening and veneers, we also have many different ways in which we can provide these results.

For example, teeth straightening can be completed with the use of fixed or removable aligners and this will depend on both your physical situation as well as your personal preferences and lifestyle choices are as well.

If you have mild to moderately misaligned teeth then you will have more options than someone with a more severe case. Our dentists will be able to talk you through the advantages and any potential risks that are associated with each treatment, giving you the opportunity to make the most informed decision to suit you the best.

In terms of veneers, many of our patients choose this option knowing that they are working to improve the overall visual condition of their teeth, rather than needing to focus on one issue at a time. Should you have a few badly stained teeth that whitening solutions struggle to remove as well as a chip in a tooth and even a slight misalignment, you can opt for the one treatment to completely redefine your smile, all in a matter of a few appointments.

We will discuss the disadvantages of this treatment option with you as well as such obvious benefits so that you are aware of these before making this lifelong commitment. Perhaps the biggest consideration for our patients is that although veneers last several years, you do need to be aware that you will need to replace them when they do chip away over time, which can become difficult as they do remain one of the more costly options on offer.

How long does it take to get dental implants?

Our dental implantation is performed by replacing missing teeth Marylebone during a multi-session procedure, with a time delay of 3-6 months between the first and second sessions. During the first, the titanium ‘artificial root’ is placed into the jaw and the permanent prosthetic tooth is added in the second session. Why is there a 3-6 month delay? Why not fit them both on the same day? Let’s find out.

What makes an implant a viable procedure in dentistry is an effect called osseointegration. It describes the very close association between living bone and titanium metal and was originally documented in the 1950s, and is the reason why titanium is so widely used in surgery.

The first examples of dental implants as a method of replacing missing teeth Marylebone. were single units consisting of a prosthetic tooth, similar to a crown, on a titanium peg. This was inserted in a single session and as new bone growth formed around the peg, the patients would have to be very cautious not to apply pressure to the tooth, as any movement would not only slow down the healing process, but could also twist or misalign the tooth resulting in a crooked implant. This was possible, but was hard, leaving our patients with difficulty eating for 6 months or more.

The solution is now to split the implant into two pieces; the titanium component and the prosthetic tooth component complete with a connector, which allows the two pieces to be locked together.

This means that we can implant the first piece, the titanium component, just beneath the gum line, allowing the gum to grow over the implant and keep it safe from disturbance by patients’ everyday behaviours like eating, brushing and talking.

In a second session, the gum is reopened and the tooth is then fixed on to the fully osseointegrated root, using the connector, resulting in a tooth which is ready to bear the load of eating.

Why such a large gap of 3-6 months?

Even this range is an average and the fact is, not all implants are successful, some never osseointegrate and these are eventually removed. The biggest factor is the health and lifestyle choice of the patient, with a much higher rate of failure in smokers. Uncontrolled diabetes can have a similar effect because of obstructive glycoproteins and hypertension.

To reduce treatment time, you should remove anything that could slow the rate of bone growth. Reviewing your diet and increasing vitamin D intake is recommended.

To ensure successful treatment, we would not offer implants if there were outstanding issues like gum disease, which would compromise them. We would seek to treat this first and carry out the implants after recovery.

Effects of other medical conditions

There are medical conditions and medications which have an impact on bone growth in adults. Most of the time, reduced bone growth is an acceptable and unnoticed side-effect and is therefore not uncommon with prescription medications. But you will have to contact our clinic to get information relevant to you on how a pre-existing condition or medication may impact the time it takes for implants to integrate replacing missing teeth Marylebone.

Helping you to gain knowledge of the dental implant process in Marylebone

The full story

Here at David Madruga’s practice, it is our mission to inform and educate our patients about the benefits of dental implants, and why they ought to be the treatment of choice for anyone who has lost one or more teeth.

However, many people who lose their teeth still often choose dentures or dental bridges, rather than dental implants. We believe that part of the reason behind this is because people are unaware of the dental implants process Marylebone, and the innovative technologies which make dental implants the most advanced tooth-replacement treatment yet.

What are dental implants?

To best understand the dental implant process Marylebone as it is today, it helps to know where dental implants have come from.

Replacing lost teeth has been around in some form for thousands of years – even pre-dating the Roman Empire – although it was not until the late 1950s that the groundwork for the dental implants process Marylebone was laid.

This took the form of discovery in 1952 when an orthopaedic surgeon accidentally stumbled upon a rabbit bone which had merged itself with a titanium-alloy coil.

Witnessing the biocompatibility of the titanium-alloy rapidly accelerated the possibilities of the dental implant process, and just 13 years later the first successful titanium-alloy implant was carried out in 1965 by a Swedish orthopaedist named Branemark.

From then until now, titanium-alloy has been successfully used within the dental implant process, and as science and technology evolved so did the comfort and stability that implants could provide.

Nowadays, dental implants are the closest thing you can possibly get to replacing teeth naturally. This is because – unlike dentures or bridges – they are embedded within the patient’s jaw exactly as a natural tooth would be. This results in them being just as strong and durable as natural teeth, as well as looking and feeling identical.

What does the implant process of today involve?

The first step on getting dental implants from us here at David Madruga is to book a consultation or e-consultation with Dr Madruga. Even if you have been told previously that you are not eligible for implants, it always helps to get a second, expert opinion.

Consultations let Dr Madruga identify if any other problems, such as gum disease or tooth decay, will have to be dealt with before the implant process can begin.

Provided that no evidence of anything out of the ordinary is present, and no bone augmentation is required, the actual implant procedure will take place. This involves a small surgical dental procedure – during which the patient is under local anaesthetic or continuous sedation – which involves making a hole directly into the patient’s jawbone in the space where they are missing teeth.

Into this hole, a titanium-alloy socket is placed and left to heal. After this follows a short healing period, during which time the socket and bone tissue merge together. This means that it can then be used as a firm and forever fixed anchor-point into which a denture can be attached.

After this, the patient can then begin to enjoy all of the life benefits of a full and healthy set of natural-looking teeth.