Following years of development and dental practice, dental implants are now part of routine dental therapy and should be considered as an option in every treatment that requires tooth replacement. Unlike other tooth replacement options, dental implants replace missing teeth permanently and restore your oral function.

At David Madruga, we are pleased to offer immediate placement dental implants in Marylebone. Tooth extraction followed by immediate implant placement is now a viable option. This treatment is ideal for patients who want to avoid further bone loss and reduce surgery time and expenses.

Why choose dental implants?

Dental implants are small titanium posts that are surgically inserted into the jawbone to replace missing tooth roots. Once in place, they tend to fuse with the jawbone and encourage the growth of new bone tissue. Unlike conventional dentures and bridges, dental implants restore your biting and chewing power to its full potential and look and feel just like your natural teeth.

Implants are a safe and effective treatment for patients who wish to replace their missing teeth permanently. Much like natural teeth, dental implants will last for as long as take good care of them.

Immediate placement of dental implants

In some cases, dentists are able to remove a failing tooth, fix a dental implant into place on the same day and restore the dental implant with crown or other restoration in the same day. This way, patients don’t have to wait for long periods of time for the bone to heal, before they have their restorations placed on top of their dental implants.

Immediate placement and loading of dental implants is a fairly new procedure in implant dentistry and does not apply to all patients. In order to be eligible you need to have sufficient bone to ensure implant stability, good health and a lack of habits such as smoking.

Immediate implants are ideal for single tooth replacements, especially for patients who have lost or broken a tooth due to an accident or trauma. The procedure is quite simple and our dental team will give you instructions on how to look after your implant.

Unlike other tooth restoration treatments, dental implants can last years, decades or even a lifetime if they are properly cared for. Dental implants are made of a strong and durable material, titanium, which is compatible with the human body. Once in place, they fuse with the jawbone and encourage the growth of new bone tissue.

Even if you need to change the replacement teeth on top of your implants, you can rest assured that your dental implants will last for a very long time if you follow some simple maintenance guidelines. At David Madruga in Marylebone, we are here to help you take care of your dental implants and monitor their progress. Dr David Madruga, our lead dentist, has a special interest in implant restorations and is passionate about providing his patients with the best dental care.

Maintain your dental implants at home

On the bright side, dental implants are very easy to maintain – as a matter of fact you can treat them just like your regular teeth. Just brush and floss like your natural teeth at least twice a day. However, beware because brushing and flossing too hard around your dental implants can cause receding gums. Dr Madruga will demonstrate to you the proper brushing techniques for dental implants. Any medium or soft toothbrush will do, but you purchase a special toothbrush specifically designed for dental implants maintenance if you wish.

If you have suffered from gum disease in the past or you have controlled diabetes, your dentist will recommend an antibacterial mouthwash as well. However, do not use mouthwash unless you ask your dentist, as some brands contain harsh chemicals that can be damaging to your gums. Soft tissue maintenance is important for the preservation of your dental implants.

Dental check-ups and cleanings

Another important thing to remember is to visit the dentist regularly for dental check-ups and cleanings. Your dentist will examine your dental implants carefully and monitor their progress over time. They will also examine the gums around your dental implants for signs of gum disease. Professional cleanings will also help your implants remain strong and healthy for longer.

Many patients wearing dentures frequently complain about a lack of confidence in smiling and eating. This is due to the worry that their dentures will move or even worse, fall out. This can be made worse when there are not enough remaining teeth to help fix and hold a denture in place.

The latest solution is to have dental implants here at David Madruga in Marylebone in Central London, to hold dentures firmly in place, creating your full mouth rehabilitation using fixed implant dentures. They can immensely improve chewing ability, stability and help prevent bone loss while promoting denture comfort. Comfort can increase as the denture itself can be much smaller than a conventional denture.

Also, as the denture can gain support from your gums, only half the number of implants are needed to support the denture when compared to a partial implant bridge, which can be a significant saving in costs.

At David Madruga, we believe that dental implants can be more aesthetically pleasing and easier to maintain than traditional dentures. The loss of bone that accompanies traditional dentures can lead to the collapse of the jawbone and an unattractive smile, as well as making it difficult to eat certain foods.

The procedure

Firstly, your dental implants, which look like little screws, are placed into your jaw. Then, over the next two to six months, the implants and the bone can bond together to form anchors for your artificial teeth. This is called the osseointegration period.

A second step of the procedure is necessary to uncover the implants and attach extensions. These temporary healing caps, along with several connecting devices that allow multiple crowns to attach to the implants, complete the foundation on which your new teeth will be positioned. Your gums will be allowed to heal for a week or two following this procedure.

Finally, full bridges or full dentures will be created for you and attached to little metal posts, called abutments. After a short amount of healing time, you will experience restored confidence in your smile and your ability to chew and speak once again.

Every case is different so your dental professional at David Madruga will work with you to determine the best treatment plan for you.

If you have lost all or some of your natural teeth, chances are you will be feeling that not just your teeth are missing.Despite medical advancements in tooth care, tooth loss remains a prevalent problem in the UK – mostly due to tooth decay, gum disease or injury.

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.

Until recent years, the only treatment available was dentures or bridges, but technological advances now mean that you can now take advantage of the dentalimplant process in Marylebone.

The dental implant process in Marylebone

At David Madruga, Marylebone, the dental implant process always begins with a consultation with one of our dental professionals. At the initial consultation, we will assess the feasibility of providing implant treatment and discuss the treatment options available. Digital x-rays may be required and models of your teeth created. A written plan would then be produced, detailing the sequence of treatment and associated costs. We will then discuss the proposed plan with you before starting treatment.

The implant

A simple minor surgical procedure for placement of the dental implants is then carried out. This treatment can be carried out under sedation to make the process even more comfortable. If after the initial assessment, the underlying bone is judged to be deficient, several options are available for bone regeneration. This may be carried out prior to, or at the same time as,the dental implant process in Marylebone.

Integration

We suggest that a period of three to six months be allowed for the implant to fully integrate and fuse to the surrounding jawbone before completing the dental implant process in Marylebone. The patient’s own denture, or in some cases a simple adhesive bridge, can be worn during this healing phase, which is called osseointegration. This process is fundamental to the longevity of your dental implants.

After the osseointegration has occurred, you are then ready for an abutment to be placed. This holds your crown or bridge in place on your dental implant. When this is done, you will be ready to show off your dazzling new smile, created by David Madruga and enjoyed by you.

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.

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

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.

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.

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.

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.

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

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.