Sinus lifts for dental implants and what you need to know

If you’re considering dental implants, our dentist will first evaluate whether you have enough bone tissue in your jaw to support the implant. If not, they may recommend sinus lifts Marylebone or another type of bone grafting surgery. Here’s what you need to know about these procedures.

This lift is a common type of bone augmentation, carried out in preparation for the treatment. It is performed to raise the sinus floor and allow for new bone growth in the upper jaw, particularly in the back where it meets the cheekbone. This extra bone helps support dental implants placed in this area.

Why have a sinus lift?

There are two main reasons why our dentist David Madruga could advise someone they need sinus lifts Marylebone. Either they have had teeth missing in their upper jaw for some time or they have been diagnosed with insufficient bone density in this area.

The sinuses are located just above the upper teeth, and when these teeth are missing, the sinuses can expand into that empty space. This can cause problems down the road if you ever decide to get dental implants, because there may not be enough bone left to support them.

How do we perform them?

This is a minor surgical procedure that’s usually performed under local anaesthesia in our surgery. First, we make an incision in the gum tissue and then gently push it aside to expose the bone underneath. Next, we create a small window into the sinus cavity itself. Once we have access to the sinus cavity, we carefully lift up the sinus membrane and place graft material beneath it. The graft material helps encourage new bone growth in this area.

Once we confirm the graft has fused, the next stage of implantation can begin.

If you’re considering dental implants, be sure to ask our dentist about lifts and whether you may need one in order to support the placement of your implant. With this preparation treatment, we can help you achieve the smile of your dreams!

Do sinus lifts hurt?

Most people report feeling pressure during the procedure, but very little if any pain. You may experience some mild soreness and swelling after the surgery, but this can be easily managed with over-the-counter medication.

If you have any concerns or questions about sinus lifts Marylebone or dental implants in general, please don’t hesitate to contact our office. We would be happy to support anxious patients who may be extremely apprehensive about receiving the treatment. We are committed to providing dental care in the most comfortable and convenient manner.

Sinus lifts are a common and relatively straightforward way to prepare your jaw for dental implants, so don’t let fear of the unknown keep you from getting the treatment you need.

What is the success rate?

The success rate for this kind of treatment is high, with most patients achieving successful results from the surgery. However, as with any type of medical procedure, there is always a risk of complications. Be sure to speak with our dentist about the risks involved before deciding whether or not to proceed.

We understand that choosing to undergo surgery can be a big decision, but we’re here to support you every step of the way.

Queries?

Still, have more questions? Give us a call or schedule a consultation today! We’d be happy to answer any of your questions and help you get started on your journey to a new and improved smile.

Sinus lifts- implant preparation

Sinus preparations for implants were once in the domain of maxillofacial surgeons. But we’ve brought them into the clinic with our sinus lifts Marylebone, bringing together everything needed for more complicated forms of implantation. Let’s find out how this can affect you.

Implant complications

Have you been looking for a provider of dental implants? Perhaps you’ve been told that your case is inappropriate or complicated? Have you experienced rejection from other clinics? There are a wide range of factors that can impact the suitability of dental implants. Lifestyle choices like dietary, smoking or poorly controlled diabetes are a few. Whereas the others involve long-term medical conditions like autoimmune disorders or osteoporosis. Either way, the common theme is that there is a reduction in volume and bone density of the jaw or a significant reduction in the speed of bone growth, making the implant more challenging to place. Or, if placed, it is less likely to become fixed in its new location in the bone.

In our clinic, we don’t reject complicated cases out of hand. Instead, we have integrated many of the preparation procedures and surgeries into our clinic services like the sinus lifts Marylebone, bone and gum grafting. Bringing together the skills, expertise and procedures to make a success of cases often deemed inappropriate by other surgeries.

How sinus lifts are performed

The procedure is similar to bone grafting in that the piece of bone is placed behind the upper jaw but from within the sinus cavity. This also lifts the sinus, creating the additional space for the bone that will go on to support a future implant.

The chosen bone is removed from an appropriate portion of the lower jaw. A hole is cut in the roof of the mouth, giving access to the sinus. From here the graft can be placed at the front of the sinus using a set of articulated surgical tools, similar to those used in keyhole surgery. The length of sinus lifts Marylebone can vary significantly. It is usually completed in less than 30 minutes but a better estimate of how long any treatment will take can only be given after a foundation and a set of X-rays exploring what complications may arise.

Advanced dental procedures

Bringing some of the more complicated aspects of dentistry into the clinic has been challenging. We not only have had to invest in new equipment but substantially more skills are required and many are beyond the scope of a standard dentistry degree. We have invested significantly in additional training for our staff, giving them appropriate surgical skills and techniques to carry out these invasive procedures safely and efficiently in our local clinic. Leading to us to taking on more referrals from other surgeries and providing a greater range of in-depth treatment for our community.

We are currently accepting applicants for the surgery, so if you’re curious about how we could help you with complicated implantation or advanced dental procedure, please feel free to get in contact at any time. If you leave your query and a return number, we will be happy to get back to you when the surgery is operating.

Advanced sedation techniques for nervous patients

The business end of dentists is always moving forward as new surgical techniques are developed and new equipment becomes available. When it comes to our more nervous patients Marylebone, a mix of psychology and drug developments is changing their experiences.

Management in the practice

What is often underappreciated by those not suffering with dental aversons is that the spiral of symptoms are not amenable to reason. And that the same patients when not under pressure will in principle completely agree with the need for treatment, and will seek it out. But they will still be gripped with the symptoms of runaway anxiety and catastrophizing.

Local numbing vs general sedation

There’s been a change in general dental practices relating to those with phobias. Linking to general sedation and a greater emphasis being put on local numbing. Nitrous oxide was commonplace up until very recently. A patient’s consciousness was altered during the procedure. They often had memory impairment of the procedure due to the laughing gas and experienced the associated numbing sensation. That fell out of favour with options that do not affect the central nervous system becoming popular as they are safer to use,  and do not cause respiratory depression (a slowing down in the breathing rate). 

They were replaced with local numbing agents like novocaine and later lidocaine, which are injected directly into the area where they are required and stop any sensation. Though both novocaine and lidocaine are slight stimulants increasing people’s heart rates and breathing rates, they are a much safer option. But they can be a trigger for a lot of anxious patients who find the increase in their heart rate to be significantly disturbing and a sign of a panic attack or anxiety spiral. This lacks the calming effects of general sedation that nervous patients Marylebone need.

Conscious sedation

Conscious sedation is a return back to the general anaesthetic techniques. With the development of new drug solutions this can now be performed without respiratory depression. Also conscious sedation does not involve losing consciousness only reaching a state of great relaxation and having no memories of the procedure after sedation subsides, leading to it being referred to as Twilight sedation. 

When patients are under Twilight sedation, they can still respond to requests and are extremely calm and compliant. This makes it particularly important that you have a responsible escort with you and do not make any long-term decisions when under Twilight sedation. Also the use of heavy machinery or driving is not recommended within 24-hours of administering.

Costs and benefits

When medical decisions are being made, it often comes down to a cost. As any procedure has its drawbacks, many clinics will only provide sedation which is strictly necessary for performing a procedure painlessly. But we understand with our nervous patients Marylebone has a need for a calming form of sedation and without which many patients or simply not engage in care even something as simple as a filling.

If you or one of your family members suffer from a dental aversion and you would like to find out more about how we can help you in the clinic, please feel free to get in contact either over the phone or email.

Recovery from total tooth loss – full mouth rehabilitation

Tooth loss can be a very difficult experience to endure, usually due to a systemic condition like gum disease. But you do not have to tolerate receding jawbones or restoratives that cause discomfort. Our full mouth rehabilitation Marylebone, with our dentist David Madruga, uses implants to secure a set of premium dentures in place, seamlessly returning form and function back to your mouth.

Limitations of dentures

Dentures are extremely timely and certainly have their uses, but the friction sores and eventual loss of underlying bone is one of the biggest drawbacks that can occur with them. In order to hold themselves firmly in place, they require a tight fit to the gum. This can initially be very good but the load generated by eating and chewing is spread out over the surface of the gum and is not delivered to the jawbone via roots as it would have been before tooth loss. With such little load placed on the bone itself, reabsorption occurs and as the bone recedes and the gum narrows, so the dentures become loose and rub easily, causing chronic ulcers and sores. This can be mitigated with adhesives and by continuing to re-adjust the denture to the changing jawbone, but it is an on-going bugbear of denture users.

Limitations of single implants

A single implant used as an artificial root for a crown-like prosthesis is an excellent way of replacing a single missing tooth from an otherwise healthy smile. But it has its limitations, the first being that the position of the location of the implant is dictated by the location of the missing tooth. It can be slightly mitigated with focusable and extendable connectors, allowing our dentist to find the areas of higher bone density, but it is still highly restrictive.

The implant fitting is carried out over two procedures with a 4 to12 month period in between to allow osseointegration; this is where the titanium portion of the implant becomes fully fixed into the jawbone with new bone tissue growing around it.

The techniques do not scale well and attempting to replace an entire set of teeth each on their own  implant would be prohibitively expensive for the vast majority of our full mouth rehabilitation Marylebone patients.

Implant immobilised dentures

In many ways, we have found that an implant-supported immobilised denture combines some of the best features of both treatments, while mitigating several of the drawbacks. It combines the stability and reliability of a full implant, but with a significantly reduced cost and proven track record of dentures. Where the implants are placed along the dental arch is flexible, allowing the best location to be selected after the areas of high bone density are assessed by X-ray. This increases the chances of the implant being accepted into the jawbone.

The implants will support the denture once they are fully integrated, but during this process when your bone is being laid down, they are vulnerable to being disturbed because multiple implants are attached to the same denture. However the risks of them twisting are slim to none, allowing same-day procedures, making it one of the best options for full mouth rehabilitation Marylebone at our practice.

Why replacing missing teeth matters

Apart from improving dental aesthetics, do you know why replacing missing teeth Marylebone really matters? Patients often look at the cost of replacing missing teeth Marylebone without fully realising that this is much more than a cosmetic issue, missing teeth has consequences for overall health too.

At our dental practice, our well-qualified and highly capable dental practitioner, David Madruga, can help patients find suitable and affordable solutions to replacing missing teeth Marylebone.

We are happy to report that, thanks to advancements in dental technologies, patients have a larger range of missing teeth replacement appliances to choose from. In addition to dentures and bridges that have been relied on for many years to give patients back dental function, patients may also have the option of dental implants.

Health dangers of not replacing missing teeth

Patients may be astounded by the high number of problems that can arise from losing teeth. Some of these issues are not immediate but can cause major problems down the line.

The risk of teeth shifting is greatly increased when gaps in the dental arch are left open. Teeth that move out of position may result in changes in bite function, poor oral hygiene because awkward spaces make teeth that much harder to clean and can contribute to the onset of gum disease.

A patient may also see a change in the shape of their face. A great concern to dental practitioners about not replacing missing teeth is deteriorating jaw bone density. Each component in the dental arch has a role to play as part of a well-run unit. Roots of teeth anchor teeth to the jawbone, providing reliable stability but also serves a second equally important function – providing stimulation to keep the jawbone growing.

In tooth loss, the roots are lost and so disappears the stimulus needed for the jawbone to remain healthy and strong. One missing teeth replacement device that succeeds in mirroring the function of natural teeth roots are dental implants – a benefit that has promoted them as the go-to option for dental practitioners.

The risk of not meeting one’s nutritional requirements is another consideration. Being limited to only certain foods due to lost teeth, these patients often find that changes in bite means they can no longer enjoy a healthy varied diet.

There is no escaping the devastating effect teeth loss has on the ability to smile. A confident smile is a strong social cue that helps us connect with each other. Take away this ability and many areas in one’s life can suffer. A warm smile is the quickest way to persuade others about one’s friendliness, approachability and acceptance. A hearty smile spreads joy around, not only in others but within oneself too. Many research studies have linked smiling to benefits for mental and emotional health.

The first step forward to improved oral health and to loving your smile once again is to schedule a consultation. Give our front desk a call to book a consultation with David Madruga to find out how missing teeth replacement devices can improve your overall health and the quality of life you lead.

A guide to the dental implants process

Curious about what occurs during an oral implant fitting?

At David Madruga, we know all about the dental implants process Marylebone and can provide all of our patients with a step-by-step guide to this procedure.

In this very brief guide, we look at the dental implants process Marylebone, so you can have a better idea of what to expect when you come to us for this treatment.

The consultation

The first step in the dental implants process Marylebone is the consultation.

During this, we will assess suitability by taking X-rays of your jaw to explore if there is enough bone present to support the fitting of implants. We will enquire about your general health and will ask about lifestyle choices, such as if you are a smoker and how often you consume alcohol.

The fitting

During the implant fitting, we will numb the gum, make some incisions and then gently peel it back above where we want to fit the implant.

We may use a vacant socket (if possible) or may drill a new hole into the jaw to accommodate the implant. Once it is in place, we will sew your gums around it to secure it more firmly in place and hence, the surgery is complete!

The aftercare

Once the implants have been placed, the aftercare is not too tricky but is worth adhering to, this will ensure that they fuse correctly and will prevent infection.

To keep the site clean, you should rinse it as required with saltwater until the gums around the implant site have healed. You don’t want to be causing disruption to it and instigating infection or inflammation.

We also recommend you avoid eating hot foods like curry, or overly hard foods, as this can cause the implants to move and fuse at an odd angle. It is also worth keeping an eye out for signs of infection which are not limited to, but commonly include, fever, vomiting, discomfort, discolouration of the gums and the presence of pus.

If you notice any of these, please call our team for a same-day appointment.

The loading

Once the implants have fused to your jaw, we will book you in to have them loaded with the prosthetic tooth or teeth required; this can be a single crown, a bridge or a full denture.

This entire process can take up to an hour, but will allow you to leave our surgery with a great looking functional smile.

Remember, we will have tailored the prosthetics to blend in with any natural teeth that you may have or we can create a brand new set of teeth, which can look as natural or as Hollywood-esque as you want them to!

The maintenance

With oral implants, for them to last long-term, you will need to treat them as you would treat your real or natural teeth.

That means brushing them twice a day, flossing or cleaning in between them with interdental brushes, rinsing with mouthwash and attending appointments with our dental team twice a year. This will allow us to ensure that the implants are still in place, are not damaged, are not being rejected and that you are not developing gum disease which can cause them to come loose. So, in short, they require no additional maintenance.

Helping nervous implant patients in Marylebone!

It is not uncommon to come across nervous dental implant patients Marylebone and that is mainly because of insufficient knowledge about dental implants. Are you one such patient? Do you suffer from a phobia of the dentist? Dental implants have been around for centuries, but it was really in 1952 when the current system was pioneered. So it is obvious that there have been over seven decades during which time dental science and technology have perfected the procedure. We have performed over a thousand of these procedures and many of the patients involved were apprehensive at the beginning, but are now enjoying the benefits of the process. At David Madruga we are all trained to help nervous patients overcome their fears and we understand that at first it must seem daunting to have a dental implant, but the results will soon make that fear disappear into insignificance.

A giant leap forward!

Losing a tooth for any reason is a traumatic event, and the biggest problem until the introduction of this procedure has been providing an artificial tooth that was stable when eating and that stimulated the jawbone. Of course bridges and dentures are still being used today, but neither device provides the same amount of comfort and stability that dental implants do. The latest technology allows us to provide a diagnosis virtually and treat you before even coming into contact with you. The use of CAD/CAM technology is making treating patients much easier, quicker and more efficient than ever before.

Your treatment specifically designed around you

To help nervous dental implant patients Marylebone we conduct a thorough examination of your oral cavity. We are able to replace one tooth or up to four teeth with just one dental implant, or we can replace all of your teeth with just four dental implants that support a full set of teeth. The dental implant procedure requires us to create a tooth or teeth that match your existing teeth in colour and shape, so that they blend in to give you a natural smile. No two people are the same and while your particular needs may be similar to those of another patient there are always points of difference. We spend a lot of time in the planning stage which not only covers the procedure, but also helps a patient to understand how they will cope with the treatment. Any procedure involving an operation to our body whether medical or dental involves a certain amount of trauma and while we conduct our treatments under local anaesthetic to minimise your discomfort we want to hear from you about how you are coping before, during and after the process. Your mental health forms a major part of our treatment plan and we are pleased that after treatment, when patients return for their check-up, their enthusiasm is overwhelming.

The joy of returning to normal

After just a few weeks our nervous dental implants patients Marylebone cannot understand what they were anxious about in the first place. They are so ecstatic about how natural their teeth look and how naturally they perform, that the result is always a wide, radiant, confident smile. Our reward is seeing the transformation that our dedication, knowledge and expertise has given them.

Replenishing your smile with advanced dental technology

Making the choice to recreate your smile

When a tooth is lost, whether a single tooth or multiple teeth, the impact on a smile can be considerable, which is why finding solutions to restore a smile are highly sought after. Dental implants are just one of the more popular tooth replacement options and with advanced dental implant technology Marylebone, restoring your smile has never been easier.

How does the process work?

Whilst diving into the benefits of the procedure can be exciting, it is important to first understand the process from start to finish. Attending a consultation is one of the necessary processes to undergo before beginning any treatment or procedure. Whilst we would all love to decide on a plan and dive straight in, there are many boxes to tick in order to be successful with this particular procedure.

During the consultation an overall check of the mouth, teeth and gums will be taken both physically and through digital scans, photographs and potentially X-rays. This detailed process helps to ensure that dental implants are the correct choice of tooth replacement for your individual case. Even with the advanced dental implant technology Marylebone, it is important to understand that ‘one size fits all’ is not possible when it comes to dental treatment and therefore this consultation is of great importance.

Once the consultation has taken place and the decision to have implants has been confirmed, the next step is to have the implant inserted. Starting with a numbing to the area, a small incision is made within the gum and the implant post inserted into the jawbone. The gum is then sewn back up and left to heal for several weeks allowing the body to work with the titanium post and create a strong, stable root for the new or replenished tooth. Once the area has healed significantly, which will be checked upon by your dental team, the new tooth will be attached to the implant and the smile restored.

Simple but effective

With our knowledgeable dental team and the advanced dental implant technology Marylebone available, this simple but highly effective smile restoration method has never been easier. We understand that there is a need to work around your daily life and therefore in between the few appointments needed for the process we help offer temporary solutions to keep your smile shining brightly. Temporary crowns can therefore be used before the more permanent tooth replacement is attached to the new post. Keeping your smile happy whilst keeping the process as simple as possible is important.

Maintenance

Once the area has healed and the permanent tooth has been attached the aftercare and day-to-day maintenance following on from the procedure does not differ from that of your regular teeth. Keeping the mouth, teeth and gums clean to a high standard continues to be of the utmost importance and therefore daily care combined with regular dental check-ups are essential to keep your smile on track.

Taking advantage of the advanced dental implant technology available for the procedure followed by teamwork from both yourself and your dental team is of great importance and something that we strongly encourage throughout. Work with us and we will work with you to ensure your smile remains radiant for life.

How we help nervous patients at our dental clinic

Many patients want to be proactive about their dental health but find that their dental anxieties keep them away from the dental chair. Dental anxieties are quite common, and there are many causes for these fears. Patients may have had traumatic experiences in the past, and some may even be embarrassed with the state of their oral health.

For such patients, there is a great risk since not getting routine checkups or preventive dental care increases the chance of them requiring major dental treatments at some point or losing their teeth altogether.

At our dental clinic, we understand the hesitancy of nervous patients Marylebone in seeking dental care, which is why Dr David Madruga has established systems of support to help and encourage them. Not only do we offer a wide range of quality dental care to keep smiles happy and healthy, but we also offer compassionate care that accommodates nervous patients Marylebone with conscious sedation methods.

Dr David Madruga is a vastly experienced dental practitioner in the field of conscious sedation and has helped set up a number of conscious sedation referral clinics throughout the UK.

How can conscious sedation help nervous patients Marylebone? Read on to find out.

The benefits of conscious sedation

Conscious sedation methods have been found to be incredibly effective in addressing the numerous common causes of the fear of the dental chair. With conscious sedation, patients can get the professional dental help that they need, whether this is to find relief from pain, protect their oral health, bite and chew better or gain confidence from having a great-looking smile.

Patients may be familiar with the general anaesthetic that is administered in hospital settings, but conscious sedation is different. The sedating medication can be administered in one of two ways: orally or intravenously. With this type of sedation method, patients remain conscious but are fully relaxed. The extent of this relaxation is so much that patients are completely unaware throughout the treatment, registering no pain or anxieties.

Conscious sedation is deemed safe to be used in dental settings and should only ever be performed by dentists with the required real-world experience in this technique. There are undoubtedly many benefits to receiving conscious sedation, one of which is that nervous patients can receive much-needed dental care.

Patients interested in conscious sedation should take note of a few important implications. Due to the relaxing effects of the sedatives, patients may experience dizziness following treatment, which would rule out them driving themselves home. Therefore, we recommend that patients ask a relative or friend to pick them up after the appointment. Our dental practitioner may have further post-procedure instructions that should be carried out.

There is every reason for a nervous patient to celebrate the availability of conscious sedation. During a consultation with Dr David Madruga, patients must inform us of their dental fears so that we can look at all the suitable options to give them the proper care they deserve. Reach out to our front desk team to find out more about the conscious sedation methods we offer.

Give your smile the love it deserves, through a full smile makeover in Marylebone

Time to shine

Here at David Madruga, we believe wholeheartedly in the power that a beautiful, healthy-looking smile holds.

We also recognise that the past year hasn’t been one of many smiles, given the circumstances – which is why we are now advising anyone that feels their smile could do with a professional once-over to visit our practice for a full smile makeover Marylebone.

The better your smile looks, the more you will be inclined to use it – and the more you use it, the better you will feel. This is our philosophy and something which we believe our years of crafting beautiful smiles has confirmed time and time again.

What is a full smile makeover Marylebone?

A lot of the patients who visit our practice here at David Madruga are unhappy with how their smiles look, but may not have an exact idea of what treatments are available to help them overcome their cosmetic concerns.

This is why we offer a full smile makeover Marylebone, which makes use of a huge range of cosmetic treatments which are tailored to the individual receiving them.

As no two smiles are the same, we always take a bespoke approach to every full smile makeover, whereby the patient’s needs are first assessed during a consultation before a customised treatment plan is established.

Your smile is a vastly important social asset and is often the first thing that people notice when they meet you – which is why its aesthetics are something to be cherished and cared for.

If you have teeth that are obviously stained, chipped, missing altogether or disjointed this can change how others perceive you and have a knock-on effect that impacts all aspects of your life.

Rather than deliberately hiding your smile away, by contacting our experienced cosmetic dental team here at David Madruga and arranging a full smile makeover consultation you can set yourself on the right track to a brighter and healthier looking smile – which in turn, can massively improve your self-esteem and inner confidence.

What sort of cosmetic treatments do you offer?

The first step on every patient’s smile makeover journey starts with having their needs determined by one of our cosmetic experts.

This involves a consultation and dental examination to gauge what type of cosmetic treatment is best suited to the patient’s individual needs.

One of the most popular cosmetic treatments we offer to patients who are undergoing a full smile makeover are porcelain veneers. These are thin ceramic shells that are custom-built for every patient, and bonded over their existing teeth to give their smile a cohesive freshness.

Veneers are extremely popular due to their ability to treat a number of problems at once, such as crooked or out-of-place teeth, as well as teeth which are discoloured or stained.

Alongside veneer treatment, another popular cosmetic procedure that we regularly provide as part of our full smile makeover service is teeth whitening – which is a cosmetic procedure that aims to brighten the visible whiteness of a patient’s smile through a fast-acting peroxide bleaching gel.

Anybody who is interested in discovering what our full smile makeover service can do for the aesthetics of their mouth should waste no time in calling us here at David Madruga today and book themselves in for a consultation.