Fear and phobia of the dentist are the main reasons UK adults give for putting off seeking dental treatment. At our Marylebone dental practice, we understand and empathise with these fears, which can range from mild anxiety to full-blown panic attacks and can be very distressing. However, we do not think that anyone should experience barriers to the dental treatment they need and the smile they deserve, which is why we work closely with nervous patients to help them get treatment.
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.
How conscious sedation works
Conscious sedation should not be confused with general anaesthesia. You will not be asleep during treatment, so will be able to cooperate with your dentist as required, but will be in a highly relaxed state and will remember little to nothing about treatment when it is completed.
We have two sedation options at our Marylebone clinic: sedative drugs can be delivered intravenously (using a needle) or in tablet form, an ideal option for patients who find that a needle is a trigger for their anxiety. If you opt for treatment under conscious sedation, you will need to bring someone with you to drive you home and stay with you for a few hours after treatment.
It takes some hours for the sedatives to fully wear off, and by law you must not drive under the influence of these drugs. You should also avoid strenuous activity until the next day. Many patients will sleep off the sedatives at home and awake the next morning refreshed and with all dental treatment complete.



While once a full arch of dentures was the only solution, dental implants now offer an increasingly popular alternative. Implants have several benefits in such circumstances: they offer a solution that is predictable, safe and – with proper aftercare – long-lasting.
Here, we look at why dental implants are often the perfect solution to missing teeth.
Dental implants
Mouthwash, or mouth and oral rinses, is something that usually does not factor into people’s dental habits. At times, it is people’s dental habits. The latter is unhealthy, and as we progress in this blog, you will find out that it is pretty useless in itself. Think of it as something that makes brushing better—a complementary treatment.
Today, a smile is the assurance of your fun-loving, outgoing and carefree nature. In fact, a genuine smile is one of the top things the opposite sex looks for in a potential partner. If you wish to find love, all you have to do is pull off your greatest weapon: a picture-perfect smile.
The reason dentists avoid extraction is because losing the natural tooth prompts a series of dental problems, including loss of function and bone resorption, a process that naturally happens after a tooth has been extracted or lost.
But how about alcohol? How does alcohol affect the teeth?
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.
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.