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.
He 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.



The latest solution is to have dental implants here at
Your journey to a healthy smile
Tooth loss can cause a ‘sunken’ look to the face and can also cause problems with eating and drinking. Tooth loss also often affects speech.
What is on offer for nervous patients in Marylebone?
When did you last go to the dentist?
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.
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.
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.
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.