Case Studies

Case Studies

Case 1

This patient lost her upper left central incisor in an accident and used to wear a partial denture. After a dental implant, soft tissue manipulation and cosmetic bonding she managed to get rid of her denture and recover her smile back after several years.

Case 2

This patient lost her upper left central incisor in an accident and used to wear a partial denture. After a dental implant, soft tissue manipulation and cosmetic bonding she managed to get rid of her denture and recover her smile back after several years.

Case 3

This young lady in her early twenties suffered an accident and badly damaged her front teeth. She was provided with an immediate dental implant and dental veneers. She was very pleased with the results and felt like a new person again after receiving her treatment.

Case 4

This gentleman was very concerned of his smile. He really disliked the size of his two front crowns, the gaps and discoloration of his teeth. After a course of smile design using veneers and crowns, his smile was fully restored.

Case 5

This middle age lady ended up loosing all her teeth due to severe gum disease. A full mouth rehabilitation using dental implants helped to provide her with the smile that she always wanted.

Case 6

This lady suffered from severe gum disease. Her upper and lower teeth were very loose and she used to wear a lower partial denture. All her failing teeth were removed and 6 dental implants were placed both at her upper and lower jaw, and fully restored with two implant retained temporary bridges on the same day ('Same Day Teeth').

Case 7

This gentleman presented two splinted loose crowns restoring his two front teeth. After immediate extraction, dental implant placement and soft tissue manipulation, his smile was fully restored by means of two metal-free single implant supported restorations.

Case 8

This middle age lady suffered from severe gum disease. All her upper and lower teeth were removed and she was provided with implant-retained dentures.

Case 9

This young lady suffered from advanced gum disease and multiple missing teeth. She used to wear ill-fitting dental bridges in her upper jaw. All her upper teeth were removed and restored with an implant retained bridge on the day ('Same day teeth').

Case 10

This gentleman was very uncomfortable with the state of his old fillings and chipped teeth. After a minimal procedure including the provision of 4 dental veneers he was very pleased with the results and reported he finally could not stop smiling after 15 years!

Case 11

After many years of poor dentistry, this gentleman had suffered a lot with his teeth. He was very unhappy with his discolored fillings, gaps and crocked teeth. After a course of gum treatment he was provided with a set of crowns and veneers and managed to achieve the smile he always wanted.

Case 12

This 26 year old man was referred with a failing dental implant. He had suffered a previous dental implant failure before and after a bone graft his existing implant at his front tooth was again failing. This had led to a chronic infection and severe bone and soft tissue loss. After a bone graft and gum graft, his profile was fully restored and he was provided with a successful dental implant restoration.

Case 13

This very nervous lady had lost all her front teeth in a bike accident and was provided with a partial denture. After a course of bone expansion/ augmentation, and regenerative procedures including the use of plasma rich in growth factors (PRGF), she was provided with an implant retained bridge. She was very pleased with the final result and in fact liked the implant work more than her previous teeth, as she used to hate the existing gap between her two front teeth before.

Case 14

This young lady was really uncomfortable with her smile. She presented a badly discolored anterior tooth caused by a large dental filling and metal pin. Using a layering technique and cosmetic bonding, her tooth was fully restored with a minimally invasive procedure.

Case 15

This young lady had lost her anterior lower teeth at a very young age. A fully ceramic 4-unit bridge was used to restore her missing lower teeth and provide her with a permanent solution.

Case 16

This young man was not very happy with the shade of his teeth and wanted to do something before his wedding. Using a combination of home and in surgery whitening, we managed to improve the shade of his teeth in a very safe and predictable way.

Case 17

This gentleman was wearing a removable partial denture to restore his missing front tooth. After a course of cosmetic recountoring and the provision of a single dental implant his smile was fully restored.

Case 18

This young boy had never had his two lateral incisors since birth (congenitally missing). He used to wear a plastic retainer with two fake teeth. After hard/soft tissue manipulation techniques and the provision of two dental implants he managed to smile as he never did before.

Case 19

This gentleman disliked his broken front teeth and the state of his old fillings. Using smile design techniques and minimally invasive restorative procedures all his anterior teeth were treated and he was very happy with the final outcome.

Case 20

This gentleman presented a heavily discolored failing front tooth and was not happy with the shape and the look of his anterior teeth. He was provided with an immediate dental implant after extraction of his failing front tooth and dental veneers to achieve a more natural looking smile.

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Dental Implants (Multiple Units), Patient Testimonial

Dental Implants (Same Day Teeth), Patient Testimonial


"Dear David
I am writing to thank you and all for the fantastic job you have done in restoring my teeth. On first meeting David you gave me the confidence to go ahead with a very long complicated plan of surgery requiring several implants.
The whole team made each visit a pleasure and I must thank you all the assistants that were involved in my treatment.
I am honestly not think of any way that the practice could improve as everything during my visits was first class.
Many thanks David and all the staff at DW."

- T. Coyne

Dental Implants (Immediate Loading), Patient Testimonial

Dental Implants (Bone Grafts), Patient Testimonial

"Dear David
Re: Matthew McLuckie Age 18yrs
Now that our treatment plan has concluded, Matthew and I would like to formally thank you for the superb way in which you handled our case. As you know, Matthew was lacking in confidence because he felt very self-conscious of his two missing front teeth. He was also anxious about invasive surgery due to his fear of pain and blood! When we realised he needed to have implant surgery, we found ourselves worrying about who should undertake the procedure and how it could be achieved with minimal surgery. Initially, we were only offered the option of a hip bone transplant by a hospital consultant and this did not seem to be a very attractive prospect.

After an initial consultation we were recommended to your good self and a procedure that would not involve a hip bone transplant. You guided us through the entire procedure and made sure that Matthew suffered no discomfort at all, the whole way through. You treated him kindly and with respect – for which we are supremely grateful. You have given Matthew the confidence to smile again with a perfect set of implants, exactly matched to his adjacent teeth. The whole procedure has taken less than three months. I know that it was not expected to be an easy surgery due to the fact that Matthew had limited space and bone to work with. Through your skill and perseverance, the implants have been a great success. I cannot recommend you highly enough to any prospective implant patients.
Kind Regards."

- The McLuckie Family

Dental Implants, Bone Grafting and PRGF, Patient Testimonial

Dental Implants (Full Mouth Rehabilitation), Patient Testimonial

"Dear Mr Madruga
Re: Dental Treatment

With reference to my recent dental implant, I would like to thank you and your team for the professionalism and friendly manner in which this was carried out. Although treatment was protracted, I felt that I was treated well, kept informed of the procedures throughout, and received the necessary reassurance as it progressed. I have nothing but praise for the experience and was very impressed with your skills.

I am happy to recommend your services and will definitely be using you for at least two more implants.
Yours sincerely."

- David Sutton

Full Mouth Rehabilitation, Patient Testimonial

Dental Implants (Full Mouth Rehabilitation), Patient Testimonial

"Dear David
Just dropping a line to thank you for the sensitive help received during my last treatment.

It is devastating to have problems with your front teeth and I appreciated the way you explained the options open to me. Having everything explained in detail helps to take away the anxiety and to decide on the appropriate way forward. It seemed to take forever waiting for the healing process between treatments but the end result is great!

I can now smile again with confidence and it cannot be understated how this gives me back my ease of mind.
Yours truly."

- Janis Pidgeon

Dental Implants (Immediate Implants), Patient Testimonial

Dental Implants (Immediate Implants), Patient Testimonial

"Dear David
I have been asked to share my thoughts on the treatment I received recently.

My overriding feeling during the whole process was one of complete confidence in your work and ability. From the beginning of the treatment you explained in detail what was going to happen at every point of the procedure.
Despite the fact that my bone was too thin to make a secure fixing, you overcame this problem with bone augmentation and once again explained the whole process to me and answered all my questions and concerns. Not only are your dental skills excellent but you listen to your patients and offer great reassurance.

At no time was I in any discomfort and I am delighted with the outcome of the treatment. I would thoroughly recommend you to any of my friends who might be considering implants.

I wish you luck and I am sure that you have a great future ahead of you.
Best Wishes."

- Diana Elder

Dental Implants (Bone Grafting), Patient Testimonial

Dental Implants (Former Dentures / Bone Augmentation), Patient Testimonial

"Dear Dr Madruga
Although I was dreading having the bone graft and implant I was put at ease to some extent during the more than satisfactory consultation and explanation prior to the treatment.

On the day of the treatment I was pleased to see that the room looked very sterile with all the equipment covered and everything was very clean. The sedation worked well and I don’t remember anything about the surgery. On waking, I was looked after and cared for.

After my surgery I was given the Dentists personal mobile number in case I had any problems and then I was seen regularly to check that everything was going well.

I was very pleased with the finished result and could not have been looked after any better.
Best Wishes."

- Sheila Cook

Dental Implants (Multiple Units), Patient Testimonial

Dental Implants (Multiple Units), Patient Testimonial

"I am writing to highly recommend David. I first made contact in 2013 after not seeing a dentist for some years, due to being truly terrified. I remember standing in the reception area, sweating, shaking and trying not to cry but from that very first moment I was treated with kindness and reassurance. As I had a number of teeth missing, and quite a few loose I was put into the care of David Madruga, a truly magnificent implant surgeon.


With ultimate patience, and a brilliant, easy to understand treatment plan (so I knew the exact procedures and cost), I now have brilliant strong teeth and a vastly improved quality of life. It has been a long haul with surgery but due to Davids sedation techniques I suffered no pain or trauma at all. In fact, seeing all the team and especially David became a pleasure – and I never thought I would say that about going to the dentist!"

- Sheila Webley

Dental Implants (Multiple Units), Patient Testimonial

Dental Implants (Single Tooth), Patient Testimonial

"Dear Mr Madruga
Most of us are scared of the dentist and I am one of them. So to be told that I needed some treatment was very daunting. But, due to the professionalism and care of (especially) yourself and your colleagues my mind was soon put at rest.

The whole experience from the first consultation to taking the final photographs of the finished results was first class.
At each appointment, every procedure was explained clearly and thoroughly, with all my questions answered and all my fears lifted. After care was also excellent and always on hand if I had any problems or questions.

I’d also like to comment of the excellent standards of cleanliness and hygiene which is so important in this type of environment. All staff are willing and friendly.

So, I’d like to take this opportunity to thank yourself and your team again for a job well done and may you continue to give an excellent service and care to all patient’s
Thank you."

- Alison Turner

Dental Implants (Single Tooth), Patient Testimonial

Dental Implants (Single Tooth), Patient Testimonial

"Dear Mr Madruga
I would like to thank you and your team for your understanding, care, attention, craftsmanship and professionalism in treating me on Tuesday 8th October 2013.

I highly recommend you and your team to those who have anxiety of believe they present difficulties. Your care is first class and my results are superb; better than I imagined and I’m delighted.

It’s of comfort and reassurance to know that I can contact you should I have any concerns and your aftercare follow up phone call the following morning to see how I was feeling was much appreciated. I don’t recall anyone doing this before.

Once again, thank you for everything. First Class throughout and please feel free to use my recommendation as you see fit.


- Jeremy Wells

Dental Implants (Same Day Teeth), Patient Testimonial

Dental Implants (Sinus Lift), Patient Testimonial

"Hi David
I would just like to thank you for everything you have done for me during my treatment. You really made to whole process interesting and relaxing and I am so happy with the results. I really cannot stop smiling, it's amazing.


I am really interested in seeing all the photos when they are ready so I can relive the experience.

Once again, I can't thank you enough it really has changed my life.

Well I just wanted to let you know how grateful I was for everything you have done as it has made such a difference to my life. Still can't stop smiling, I haven't smiled for 15 years."

- R. Webber