David Madruga Gonzalez - Dental Blog David Madruga Gonzalez

Full Smile Makeover

Are you unhappy with or embarrassed about your smile, but uncertain what exactly you’d like to change, or unsure what cosmetic dental treatment would be the best option? Then you may benefit from a smile makeover with Dr Madruga and his team of experienced cosmetic dentist.

smile makeover Our smile is the first thing many people notice about us. It’s not uncommon to be embarrassed about your smile, hiding it away in public. Cosmetic dental treatment can restore your confidence in the appearance of your smile, boosting your self-esteem and improving your personal and professional interactions.

When you come to see us for a smile makeover consultation, we will first assess your current smile, then recommend the best treatments to improve it. If there is a particular issue you are concerned about – a discoloured tooth, perhaps, or gaps between your teeth – please let us know. All of our treatment is tailored to suit your individual concerns, wants and needs.

We’ll undertake a full examination of your teeth, gums and surrounding structures, taking into account your whole face to ensure that any treatment we recommend looks totally natural.

After ascertaining what you would like to change, we will us photographs, wax models and mock-ups to show you what results you will get from a variety of treatment options. For some treatments, such as invisible orthodontics with Invisalign, we can also use computer animation. That way, you can be sure that you have all the information you need to make choices about treatment.

We offer a wide range of cosmetic dental treatments. Sometimes, you will need just one treatment; in other cases you will require a combination of two or more treatments.

Options include:

Teeth whitening
Veneers
Crowns
Gum reshaping
Invisible orthodontics

Whatever treatment you require, we will work with you to help you achieve the smile of your dreams.

Immediate Placement

If you lose a tooth or have to have one removed because of injury, accident or decay, the chances are you will want to replace it sooner rather than later. Particularly if the tooth concerned is near the front of your mouth, you may be left self-conscious about smiling if you have to live with a gap for any length of time.

immediate placement There are also several health benefits for replacing a lost tooth with a dental implant as soon as possible. When teeth are lost, the bone beneath the gaps will resorb or shrink back over time, which can cause a sunken appearance to the face and can make the placement of implants more complicated – requiring a bone graft or sinus lift – in the long term.

Thanks to advances in dental implant techniques and technology, it is now often possible to place a dental implant at the same appointment as having a failing or broken tooth removed.

In some cases it is even possible to place both implants and restorations (new teeth) on the same day as having a tooth or teeth extracted. This is known as immediate loading, and systems such as Same Day Teeth are a popular choice for suitable patients, reducing both time spent in the surgery and overall expenses.

This can be particularly beneficial to patients who have lost a tooth though, for example, a sports injury sustained through not wearing a mouthguard, an accident or a failed root canal treatment. It will not be suitable for every patient, and some people will benefit from the healing time of conventional implants (between six and nine months) during which time the implant integrates fully with the bone to provide a strong base for your restorations.

If you opt for immediate placement, here’s how it will work:

Your dentist will remove your failing or broken tooth/teeth under local anaesthetic or sedation
Your dental implant(s) will then be placed, again under local anaesthetic or sedation
If you are suitable for immediate loading, your restorations will be placed immediately; alternatively, you may be given temporary restorations whilst healing takes place
You will be provided with full aftercare advice and any follow-up appointments to help ensure your implants’ success

Same Day Teeth

Just imagine walking into the dental practice in the morning with missing or failing teeth, and walking out the same day with a brand new set of teeth that look and act like their natural counterparts. Sounds too good to be true? Thanks to Same Day Teeth, this fantasy is becoming a reality for increasing numbers of dental implant patients.

same day teeth Standard dental implants usually require a series of appointments spread out over a number of weeks or months while healing occurs. During this time the implants integrate with the jawbone to provide firm anchorage for your final replacement teeth – crowns, bridges or dentures.

With Same Day Teeth, the final restorations (replacement/false teeth) are placed on the same day as your dental implants, meaning you walk out of the practice the very same day with a brand new smile that you’ll want to show off. Same Day Teeth is not suitable for all cases, so we’ll discuss your suitability for this treatment at your initial implant consultation.

Same Day Teeth are non-removable, meaning they are fixed in place and provide the full functionality of natural teeth. The result is a beautiful, natural looking, natural-acting smile.

The good news is that you will not need an implant for every replacement tooth. In most cases we use four or six implants – depending on how much bone you have – and attach a fixed provisional bridge comprising several teeth.

Our expert team carefully position and angle the implants so that nerves and other important anatomic structures are avoided, while the forces created by biting and chewing food are evenly distributed across the implants, ensuring no one area comes under excessive strain.

Same Day Teeth have been proven to have a 98% success rate after five years in one arch of the mouth. With proper care, they are an excellent option for many patients with missing teeth.

Maintenance (Implants)

Dental implants have a very high success rate (up to 98%). The implants and their restorations look and act just like natural teeth – and just like natural teeth, they require good oral healthcare to increase the chances of success, and to keep them in good condition.

If you have lost one or more teeth once you won’t want it to happen again, which is why it is important to follow your dentist’s aftercare instructions carefully. Looking after your implants properly requires teamwork between your dentist, your hygienist and yourself with a strong home care routine.

Your implants will require regular maintenance appointments, just like your teeth require regular dental appointments to keep them healthy and to spot any potential problems as early as possible. You will be provided with full aftercare instructions once your implants have been fitted, and so long as you follow these carefully, your implants are unlikely to fail.

However, should this start to happen, spotting it early is the best way to avoid further complications. Early signs of failure will be identified with regular dental examinations and x-rays to monitor how well the implant is integrating with the bone. You may need to come for a check-up more frequently than the standard six months recommended for regular dental examinations, and you should always follow this advice to increase the chances of your implants succeeding. If anything unusual is spotted we are usually able to correct it with minor remedial treatment.

As well as attending regular follow-up appointments with your dentist, you should also make regular visits to the hygienist. The implant-restored teeth are no more difficult to clean than natural teeth, but there may still be areas that are difficult to reach. Your hygienist can help you clean these difficult areas, and will recommend the best products and techniques to use at home to maximise the chances of your implants’ success.

Sinus Lift

If you have been missing teeth in your upper jaw for some time, you may have been told you are not suitable for dental implants because you don’t have enough bone volume. The good news is that this may not be the full story. In many cases it is possible to have dental implants in your top jaw even if you have experienced bone loss – you will just need a procedure called a sinus lift first.

Bone loss is a common side effect of losing teeth, because over time the bone beneath any gaps starts to resorb. In the upper jaw, it is common for the maxillary sinus spaces – above the upper jaw – to increase in size, reducing the height and density of the bone and making it hard to place dental implants. A sinus lift helps to build this bone up again, increasing the chances of a successful dental implant procedure.

Dr Madruga is highly experienced in performing sinus lifts, helping patients to get their confidence back in their smile. He accepts referrals from other dentists whose patients would benefit from this procedure, so if your dentist has told you you are not suitable for dental implants in your top jaw because of lack of bone volume, please ask to be referred to Dr Madruga for a consultation.

What is a sinus lift?

A sinus lift is an oral surgical procedure that extends into the sinus cavity above the jaw. It involves repositioning the lining of the sinus, making it higher so that bone graft material can then be packed into the space.

The graft material may be made from organic or synthetic compounds, or in some cases will use bone from another part of your body (most commonly the chin or the posterior part of the lower jaw). This material bonds with the surrounding tissue, forming a solid structure very similar to bone. After a healing period, the bone density will be checked and when it has reached adequate levels, your dental implants can be placed.

Treatment with dental implants if you have low bone density

Dental implants are an excellent option for patients with missing teeth. At our Marylebone dental practice, implant dentist Dr David Madruga Gonzalez can replace one, some, or all of your missing teeth using implants – even if you have already experienced some bone loss.

Your own dentist may have told you that they cannot place dental implants because you lack bone density. Bone loss is a very common side-effect of losing your teeth, which happens because without the tooth roots in place the jaw bone is likely to start to resorb (shrink back). Whilst this can make implant surgery more complex, by no means is it impossible.

Dr Madruga Gonzalez accepts referrals of complex implant cases at his Marylebone clinic. Using the latest technology, he will first assess the level of bone density in the relevant jaw, before drawing up a customised treatment plan.

Bone grafts and sinus lifts

Bone grafts and sinus lifts are two procedures that are used to rebuild the density of the bone in the lower or upper jaw prior to the placement of dental implants. Dr Madruga Gonzalez has carried out many such procedures successfully here at our Marylebone dental practice.

Bone graft material may be your own bone from another site in your mouth, or may be a bone substitute biomaterial – which may be of animal or synthetic origin. This procedure is usually used in the lower jaw, whilst a sinus lift involves lifting the sinus cavity and packing the space with bone graft material.

These procedures are carried out under sedation at our Marylebone clinic. In some cases, dental implants may be placed at the same time, whilst in other cases, a healing period is required, after which your implants will be placed in a standard, minor surgical procedure.

Nervous Patient Testimonials

Fear of the dentist is the main reason patients put off seeking treatment. It can be crippling, and can prevent you getting the help you need when a problem arises, as well as stopping you from preventing those problems arising in the first place.

nervous-patients Our entire team is committed to treating nervous patients with care, respect and dignity. We will always listen to your concerns and take them seriously, and won’t be judgemental if your dental health is less than perfect because you’ve been afraid to seek treatment for many years.

We offer treatment under conscious sedation, which has helped many of our patients get the treatment they want or need. Don’t just take our word for it, though. Here is what some of our patients have to say. . .

“I am writing to highly recommend David. I first made contact in 2013 after not seeing a dentist for some years, due to being truly terrified. I remember standing in the reception area, sweating, shaking and trying not to cry but from that very first moment I was treated with kindness and reassurance.

“As I had a number of teeth missing, and quite a few loose I was put into the care of David Madruga Gonzalez, a truly magnificent implant surgeon. With ultimate patience, and a brilliant, easy to understand treatment plan (so I knew the exact procedures and cost), I now have brilliant strong teeth and a vastly improved quality of life.” – Sheila Webley.

“Just dropping a line to thank you for the sensitive help received during my last treatment.

“It is devastating to have problems with your front teeth and I appreciated the way you explained the options open to me. Having everything explained in detail helps to take away the anxiety and to decide on the appropriate way forward. It seemed to take forever waiting for the healing process between treatments but the end result is great!

“I can now smile again with confidence and it cannot be understated how this gives me back my ease of mind.” – Janis Pidgeon.

Why replacing missing teeth matters – and why dental implants are a good solution

Missing teeth should always be replaced. Any dentist will tell you the same thing. At his Marylebone dental practice, Dr David Madruga Gonzalez has helped scores of patients to restore their smiles and their ability to eat a healthy, balanced diet by replacing lost natural teeth with dental implants.

Why you need to replace missing teeth

If you have one or more missing teeth near the front of your mouth, you are likely to find your confidence affected, and you may be too shy to smile or laugh in public. There are other health implications that come with losing your natural teeth, however; remaining teeth often become misaligned as they shift into any gaps, making them harder to clean and increasing your chances of tooth decay, gum disease and, ultimately, losing more teeth.

Depending on the number of missing teeth, your speech and your diet may also be affected. If you struggle to eat solid foods then you may find it difficult to maintain adequate nutrition, which can have serious consequences for your general health.

Missing teeth also lead to a shrinkage of the jaw bone, which can cause a prematurely aged appearance to the face.

Why dental implants are often the best option

Dr Madruga Gonzalez can replace one, some, or even all of your missing teeth with dental implants. These small bionic tooth roots are made out of titanium and are placed directly in your jaw bone in a small operation, carried out here at our Marylebone practice under local anaesthetic or sedation. New teeth – crowns, a bridge, or dentures – are then attached on top.

At his Marylebone clinic, Dr Madruga Gonzalez can help even those patients who have already experienced some bone loss to restore their teeth with the help of dental implants.

Why dental implants are often the best solution to missing teeth

Dental implants offer a permanent way for your dentist to replace your missing teeth. At our Marylebone dental clinic, Dr David Madruga Gonzalez can treat even the most complex of implant cases, restoring not just a beautiful smile but also full functionality to your jaw – meaning you can eat whatever you choose without having to worry about loose dentures.

Why you should consider dental implants

dental implants Missing teeth should always be replaced, as soon after tooth loss as possible. This is because not only does having gaps in your mouth affect your self-confidence, it can also have a negative impact on your diet and your ability to eat healthy foods, potentially impacting on your general health.

Gaps in the mouth often cause remaining teeth to move and become misaligned, which makes them more difficult to clean. This can lead to an increased risk of gum disease and tooth decay – and ultimately of further tooth loss.

At our Marylebone dental clinic, Dr Madruga can use dental implants to replace one, some, or even all of your natural teeth. Implants are the only permanent tooth replacement solution, and the only one that helps to prevent bone loss.

Bone loss is a common side-effect of having missing teeth, because without the tooth roots in place the jaw bone starts to shrink. Dental implants prevent this because they are in direct contact with the bone, and they are osteoconductive – supportive of bone growth.

In most cases, after implant placement – carried out under local anaesthetic or sedation at our Marylebone dental practice – a healing period of a couple of months is required, after which your dentist will attach new teeth to the implants.

These new teeth with look and function just like natural teeth, giving your jaw a new lease of life and restoring your confidence to smile.

Missing teeth: how best to replace them

Missing teeth do more than just knock your confidence about smiling or laughing in public; they can affect your diet, your general health, and even your ability to speak clearly. At our Marylebone dental practice, implant dentist Dr David Madruga Gonzalez has helped many patients who have experienced tooth loss to get both health and confidence back with the help of dental implants.

Why you should replace missing teeth

You should always replace missing teeth because to do otherwise risks your dental and general health. Remaining teeth have a tendency to move into any gaps, becoming crooked in the process. This makes them more difficult to keep clean, increasing the chances of oral health problems such as gum disease.

Depending on how many missing teeth you have, you may also find that your ability to eat a healthy and balanced diet is affected, as you could find yourself limited to a soft-food or even liquid diet, making maintaining adequate nutrition far more difficult. Your speech can also be encumbered, and your confidence is likely to take a bashing.

Why implants are often the best treatment for missing teeth

Dental implants offer your dentist a permanent way to replace lost teeth. At our Marylebone clinic we can replace one, some, or even all of your teeth with a combination of implants and restorations including crowns and bridges.

Implants are, effectively, bionic tooth roots. Made from titanium, they are placed directly in your jaw bone in a small operation, carried out by experienced implant surgeon Dr Madruga Gonzalez here at our Marylebone practice.

The implants form a strong bond with your jaw bone, providing a very strong anchor on to which your replacement teeth can be attached. Depending on how many missing teeth you have, this may be a bridge, a crown, or implant-supported dentures.