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.



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.
Bone loss is a common side effect of losing teeth, because over time the bone beneath any gaps starts to resorb. In the upper jaw, it is common for the maxillary sinus spaces – above the upper jaw – to increase in size, reducing the height and density of the bone and making it hard to place dental implants. A sinus lift helps to build this bone up again, increasing the chances of a successful dental implant procedure.
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.
Our entire team is committed to treating
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.