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.
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.



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.
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.
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.
Our teeth are made up of two parts – crowns and roots. Traditional dentures and bridges replace only the crown portion of a tooth, but
Teeth can be lost for a variety of reasons. Health problems such as tooth decay and gum disease are a common cause of tooth loss, while as the population ages many people are finding that they lose teeth as they get older. Accidents and injuries can also cause teeth to be knocked out, and while it is sometimes possible for your dentist to reimplant teeth lost this way in the socket, sometimes a tooth replacement is required.
Dental implant surgery can be relatively quick depending on the number of implants required and, contrary to popular belief, most people who undergo dental implant surgery feel no pain at all. Modern day dentistry is no longer about large needles and painful drilling. Instead carefully monitored and controlled sedation techniques keep the patient in a relaxed and care-free state, while most patients who undergo conscious sedation have no recollection of the surgery a all.
According to the study, people who had experienced tooth loss were reluctant to leave their home, and tended to be disappointed in themselves for requiring dentures. In the UK, more than two million people have lost all their teeth in either their upper or lower jaw, and even though this study implies this loss can be just as damaging as having a long-term health condition, it is often not taken very seriously.
Lured by anecdotal evidence of high standards of care, professional looking websites and budget airlines undercutting each other to get cheaper flights to Europe, it’s no wonder that ‘dental tourism’ is big business. Unfortunately many people have returned from such trips with problems arising from initially shoddy treatment. Such is the scale of the problem that it’s caused the General Dental Council (GDC) to issue a set of guidelines for anyone contemplating getting cheap dental treatment abroad. The guidelines encourage the potential patient to ask some important questions such as…
Our principal dentist, Dr David Madruga, is highly experienced in the use of conscious sedation to help patients who are afraid of the dentist. Dr Madruga leads a highly-experienced team in the field of conscious sedation, and he welcomes referrals from other dentists to our Marylebone practice if they believe their patients would benefit from treatment under conscious sedation.