Dental Blog David Madruga Gonzalez -

Sinus lift for dental implants in Marylebone

Dental implants are a viable tooth replacement option for many patients, yet their success and longevity is directly related to the quantity and quality of the jawbone that remains after a tooth is lost. The rear upper jawbone, in particular, is one of the most difficult areas to successfully place dental implants because of its proximity to the sinuses.

Dental Implants in Marylebone Sinuses are essentially airways above your nose, which facilitate breathing. Some of the roots of your upper teeth reach into your sinuses. When these teeth are gone, only a thin bone divider parts your sinus cavity from your mouth. As this bone heals, the sinus increases in size, further decreasing the bone available for implant surgery. Fortunately, this process can be halted with a sinus lift operation.

Experienced implant dentist, Dr David Madruga in Marylebone, performs all types dental implant supporting procedures including sinus lift surgery. Dr Madruga has undergone extensive post-graduate training in order to carry out a sinus lift procedure. His knowledge and experience ensure the high success rates of the treatment in our practice. Unlike other dental procedures, a sinus lift is a complex surgical procedure and not without risks, therefore, it should not be performed by dentists without the appropriate training.

Understanding the necessity of a sinus lift

Patients who wish to replace missing teeth with dental implants in the upper arch at the back of their mouth, often find that there is no sufficient bone in the area. Dental implants need an adequate amount of bone tissue to hold them securely in place and fuse with the jawbone.

A sinus lift operation artificially increases the bone in the upper arch where the sinuses are located. If there is not enough bone for dental implants, the floor of the sinus cavity is raised in order to create more depth.

A sinus lift always precedes implant operation and can make the implant placement possible. This way, people with bone loss can enjoy the multiple benefits of dental implants.

Get in touch

If you want to know more about sinus lift surgery and dental implants in Marylebone, please contact us today. During your consultation appointment, a dental 3D scan will determine whether you require a sinus lift or not.

Nervous dental implant patients in Marylebone

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.

Nervous Dental Implants Patients 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.

Full mouth dental implants

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.

dental-implants-in-marylebone 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.

A modern approach to tackling tooth loss

If you have suffered from tooth loss, you can take comfort from knowing that dentistry today offers a modern and reliable solution for the replacement of missing teeth. Taking advantage of the latest advances in dental materials and technology, dentist David Madruga in Marylebone offers one of the most effective and long lasting treatments for tooth loss: dental implants. David applies his years of experience using a variety of dental implant systems to successfully restore his patients’ smiles.

Your journey to a healthy smile

The replacement of missing teeth in Marylebone can seem a daunting prospect. However with the care and guidance of dentist David Madruga, you can rest assured that your treatment journey will be safe and effective with the minimum of discomfort. At your initial consultation you will receive a thorough examination of your teeth, gums and mouth. You will then have the chance to discuss your needs and concerns before a personalised treatment plan is put together.

Dental implants can be used to treat a variety of tooth loss scenarios; from a single tooth knocked out through injury to a whole mouthful of teeth removed due to poor dental health. They can even be used to stabilise loose dentures.

Made from lightweight titanium, dental implants act as artificial tooth roots that sit in your jawbone. Here they encourage local bone growth, which firmly locks them in position. This means once your custom-made replacement teeth are attached on top, you won’t ever need to worry about them slipping out of place. Even tough and chewy foods won’t be a problem.

The implant procedure itself is carried out under local anaesthetic so you will experience minimal discomfort – less so than having a filling because there are less nerve endings in the jawbone than in the teeth. At his Marylebone practice, David also uses PRGF biotechnology to help speed along your recovery. This can shorten the total treatment time for the replacement of missing teeth.

Long-term benefits

Dental implants prevent shrinking of the jawbone and gums, which commonly occurs following tooth loss. Avoiding these consequences means you needn’t worry about your facial structure suffering as a result of tooth loss. Dental implants therefore provide both stability and longevity when it comes to the replacement of missing teeth.

Take the first step towards a healthier smile by getting in touch with David Madruga today.

Are you missing something?

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.

dental-implant-process-in-Marylebone 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.

Offering new solutions for nervous patients

If you are one of the many nervous patients in Marylebone or around the country, it is good to know you have options when you come for dental treatment at David Madruga. The longer you put off any dental treatment generally the worse it gets and the more eventual work you will need. If you can visit a dentist that can give you options when it comes to your levels of awareness during treatment and shows genuine understanding of you concerns, then you are much more likely to see someone sooner.

What is on offer for nervous patients in Marylebone?

Traditionally, dental treatments that involve discomfort are offered under local or general anaesthetic. These practices are designed to stop you feeling pain, but the former does not take the edge off of your experience, and the latter can mean a visit to hospital for treatment. This may seem like an extreme option if you do not need to have it.

At David Madruga, we offer conscious sedation. This is where you can have a local anaesthetic for the treatment site but we also offer you a level of sedation designed to decrease your general awareness of the sights, sounds and sensations of treatment alongside this. You will not be aware of what is going on and will likely remember nothing but you are actually awake during treatment.

Sedation is offered to nervous patients in Marylebone at our clinic though IV or orally. Your dentist will go through the whole process with you in detail and will also take a medical history from you to ensure you are a suitable candidate for conscious sedation.

At David Madruga, we have experience working with people from all over the country and we create a relaxed and professional atmosphere in which you can feel safe. We believe that, the more positive experiences you have at the dentist, the more overall relief you will get from any fear or phobia and so the more likely you are to visit for check-ups and to get the treatment you need. We look forward to working with you to give you the support you need at the dentist.

I am scared to go to a dentist!

Come and visit Dr David Madruga in Devonshire Place. We understand that the number of adults who hold a genuine fear of visiting the dentist is high. The statistics from the NHS, state that as much as one in four adults have such a fear of dentist, which consequently stops them visiting a dentist. Nervous patients in Marylebone can be assured that we are here to offer you a compassionate experience. Is it the pain that puts you off? Or perhaps the noise and smells of a dental practice? Well, we can inform you that with advances in dentistry, the tools used are quieter than they used to be. We also offer a range of pain relief including gum numbing gel and conscious sedation.

When did you last go to the dentist?

It is a good idea to have regular check-ups with a dentist to ensure you are caring for your teeth properly. Do you work or live near Marylebone? Nervous patients are relieved when they find our dental surgery, conveniently situated just a ten-minute stroll from Baker Street Tube Station. Did you know that it is recommended to visit the dentist once a year? This is, if you do not have any risk of gum disease or cavities. For some, it is essential for more frequent visits to occur. We understand, that due to the number of nervous patients in Marylebone, that there will be adults walking around with teeth that have not been seen by a dentist in many years. Is this you? Feel no shame if so, it is more common than you think and it could be that you have no oral problems. Wouldn’t it be good to put your mind at rest though? We can book you in for an appointment here at our practice. If it helps, why not come and visit us to get a feel for the place and see if you would feel safe having your first check-up here. Be assured, that a check-up will not involve any pain or tricky work being done. We will advise you if a follow-up appointment is needed.

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.