Tooth replacement is important as leaving gaps between the teeth can cause jaw bone loss and similar dental issues. This transpires because the bone naturally diminishes when it is not holding any tooth or implant. That is why practitioners reiterate the importance of having implants as soon as possible.
But, sometimes the damage is already done before patients fully understand why it is necessary to have implants. People do not have to worry about bone loss, though. Now, there are ways to repair and grow new bones – guided bone regeneration and bone grafting – that are already a part of dental routines.
How the Procedures Work
Practitioners use bone grafting to replace missing bone with a material that helps the body regrow lost bone. This procedure leads to the formation of a bridge between the graft and the existing bone, which allows the new bone growth to strengthen the grafted site. Over time, this will replace much of the grafted material. Guided bone regeneration (GBR), meanwhile, involves the placement of a membrane over the grafted area to encourage further bone regrowth and prevent the development of scar tissue.
What to Expect from Them
Patients undergoing GBR and bone grafting will be under local anaesthesia (with or without IV sedation) or seldom general anaesthesia. The procedures themselves are painless, but patients may experience swelling and mild to moderate discomfort post-procedure, especially if it also involves tooth extraction.
Are These Two Successful?
Recent developments with the procedures and equipment substantially increased the success rate of the re-growing the bone and resolving bony defects. But, success rate still depends mainly on the particular purpose of the procedures. Plus, the overall health of the patient determines the degree of regrowth.
With David Madruga, dentists in Marylebone, you can get more than just conventional dental implant procedures. He offers GBR and Bone Grafting to provide you with a more reliable tooth replacement treatment. No need to worry about the complications of these techniques as Dr Madruga underwent extensive training in GBR and Bone Grafting, as well as managing hard and soft tissues, to provide the most suitable solution for you.
Book an appointment for adequate assessment and treatment planning from us to get you started.



Dental implants have a very high success rate – up to 98%. If you’ve lost teeth and gone through the process of having implants fitted, the last thing you’ll want to happen is to lose your teeth again. Here is a guide to looking after your implants, including the importance of regular reviews, regular visits to the dentist and hygienist, and a good home care routine.
There are several good reasons to replace your missing teeth. Here are just some of them:
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Dr Madruga has helped scores of patients from Marylebone and beyond who have lost one or more teeth for many reasons. Whatever the reason, replacing missing teeth is vital to not just your dental health, but also your overall wellbeing.
Bone loss is a common side effect of having missing teeth. If you have been wearing dentures for several years, you may have noticed that though they once fitted perfectly, they have become loose over time. You may have had to return to your dentist more than once to have your dentures adjusted, and may be struggling with sloppy pastes to keep them in place.
Smiling greatly improves your mood and is also capable of reducing your stress levels. While few people would argue that too much grinning is bad for you, research shows that flashing your teeth is beneficial to your well-being.
At his implant practice in Marylebone, Dr David Madruga has successfully treated many patients with implants. Whether you have some missing teeth, just one or even all your teeth missing, Dr Madruga has an implant solution for you.
Dental implants are small titanium screws that are placed in the jaw bone with a minor surgical procedure. They are bionic tooth roots that integrate with the bone, preventing the common problem of bone loss and providing a stable base for your replacement teeth – be that crowns, bridges or dentures. They are the only permanent way to replace your missing teeth.
Believe it or not, you probably have a