Pedro Gutierres qualified at the prestigious Egas Moniz High Institute of Health Sciences in Lisbon in 2006, then completed a two-year advanced international education program at the prestigious New York University College of Dentistry before finally earning a Master’s degree in Implant Dentistry at Warwick University in 2011.
Full clinical specification
Mrs. G.H. attended our practice with aesthetic concerns. She had done composite fillings on a central incisor and a ceramic crown on the lateral. The lateral was an implant placed as a teenager and the anterior work replicated her teenage dentition. This was causing anxiety issues when interacting socially.
After an initial aesthetic, clinical and radiological evaluation, the patient was informed regarding the performance of the existing fillings and expected outcome.
The patient was not happy with the size and shape of the existing central and lateral, so a decision was made to replace the existing restorations of the anterior upper right central incisor and lateral using ceramic indirect restorations.
The planning stage included study models, photographs and shade records were taken. A difference in available space was detected. The lateral to be restored had to be bigger than the contralateral. A decision was made to create and illusion of symmetry by carefully placing the transition lines1.
Impressions were made and a digital wax-up of the lateral and central was presented to the patient. The patient approved the shape and size2.
Removal of the existing central incisor composite restoration was performed and removal of 0,5mm to 1mm of tooth structure for a veneer was done. The tooth surface was polished using discs and the margins perfected with chisels. Silicon index guides were used to check if even space was available for the ceramic restorations3.
The stump shade was recorded using eLAb protocol and impressions were made after retraction cord was placed on the sulcus.
To optimise aesthetics and adhesion to dentin and enamel, an adhesive cementation technique using Lithium disilicate veneer was chosen for the central. A gold Atlantis abutment with a zirconia crown was chosen for the lateral.
A temporary veneer was made using self-curing acrylic.
Once the lab-made restorations were ready, thickness was measured on several locations and photographic records taken to check margins and aesthetics.
Review appointment
The patient returned after three weeks; the restorations were showed to the patient who approved for cementation. The provisional was carefully removed using a probe, the existing implant crown unscrewed, and the ceramic restorations tested and showed to the patient for final validation.
The ceramic central incisor restoration was etched using Hydrofluoric acid to increase adhesive bond strengths. Orthophosphoric acid was used to clean them, followed by an ultrasonic bath using distilled water4.
Silane was applied and the restorations and heated to increase adhesive bond strengths.
The teeth were cleaned with pumice and retraction cord and rubber dam was put in place. Adjacent teeth were protected using teflon tape and Enamel was etched using Orthophosphoric acid5.
Optibond FL adhesive system was used and heated composite (Filtek Supreme A1 Body) was used for cementation.
Contact points were adjusted prior to cementation, and after initial curing excesses were removed using scalpel blade and chisel.
Glycerin gel was used to cover the adhesive interface and a final curing stage was performed. Teeth were polished using pumice to remove adhesive excesses. Occlusion was checked and adjusted6,7.
The implant crown was placed and torqued as per manufacturer instructions.
Aesthetic evaluation and photographic records were taken.
The patient is able to clean and floss and the final restorations show no interference in excursive movements or speech pattern. The patient reports that the final result surpassed initial expectations.
Clinical sources
Since 2010, founder and leading implant dentist, Dr Pedro Gutierres has worked on hundreds of implant cases in London with exceptional circumstances and has earned a reputation in the industry for often making the impossible, possible and restoring patient smiles with implants even when they’ve been told “no” in the past.
4,9
I could not be more satisfied with my experience at Maida Smiles - A special mention to Dr Gurteurez who is one of the most friendly and professional dentists I have ever met
Adam
I had my first visit and the team was very warm, caring and professional. The online booking platform makes it very easy to arrange your appointment. Doctor Pedro made me feel comfortable despite this being my first appointment since Covid. He is incredibly knowledgeable and offers you the best treatment for your specific condition. I would highly recommend them
Gian Paolo Ziletti
Professional. Friendly. Informative. Maida Smiles offers great dental services including cleanings, oral surgery and realignment. I feel very lucky to have them so close by. I had an appointment just this week that was quick, thorough and safe.
Emily Chmura
Being very nervous about using dentists after a terrible experience when I was younger, I came to Maida Smiles and loved the calm patient demeanour of Pedro. You can clearly see Pedro and the team take pride in what they do and are perfectionists. The whole experience was great and I will never go to another dentist again.
Reena Nathwani
Delighted with the outcome of my treatment by Pedro. Meticulous attention to detail explaining exactly how the procedure would be carried out from first consultation to completion backed up with supporting guidance notes. Clearly an expert in his field and someone who cares passionately about the outcomes for his patients. Highly recommended.
George Jones
I loved my first visit to Maida Smile Dental Clinic. The staff member at reception was very warm, welcoming and professional. My dentist, Priscilla, and her assistant were fantastic. I have quite sensitive teeth near my gums and I can find the probing and investigation quite uncomfortable during a consultation, but this wasn’t the case at all. I didn’t experience discomfort and felt in very safe hands. This also applied to the hygienist work. I didn’t even have to ask Priscilla to avoid using the ultra sound cleaner on the sensitive areas of my teeth. I’m looking forward to going back, and that’s not often you can say that about going to the dentist!
Simone Gibson
Since I first had the luck to be recommended and book an appointment with Dr. Pedro Gutierres over 8 years ago, I have never trusted my dental health nor my family’s to anyone else. It’s very hard to find a dentist who ticks all the boxes and even goes beyond any expectations you may have, from service, sympathy, professionalism, and expertise, etc., 5 stars are not enough to rate him. I was so happy when he opened his own clinic and surrounded himself with the best professionals you can find, I cannot recommend Maida Smiles Dental Clinic enough.
Sofia Gouveia
Maida Smiles Dental Clinic is excellent!! The staff is very friendly, professional and always aiming for the customers best experience! A special thank you to Dr. Pedro Gutierres who is truly amazing. I am absolutely satisfied with the results and highly recommend this great dental clinic!
Ana Cruz
Dr. Pedro Gutierres is the best Implantologist I have come across. His work is amazing and of very high quality! I would highly recommend him and Maida Smiles to all my friends and family. If you want the perfect smile this is the place to go.
Blossom
“Pedro was so patient and professional throughout my treatment for my implants.. I chose to have my treatment with a local anaesthetic rather than any sedation and have a very bad gag reflex when anything touches the back of my throat. His patience throughout the experience was wonderful, completely putting me at ease and he also gave me a technique to help me in the future. I have seen him for my follow up and fully intend to book an annual visit in 2020. which is no small thing as I live 60 miles away.I can thoroughly recommend him for any treatment.”
Denise Gilbert
I was very nervous to pull my ingrown wisdom tooth. Dr Pedro Guiterres made me feel really comfortable and the job was completed very professionally. It didn’t take long at all and I didn’t feel any pain. I would definitely recommend his service at this practice.
Jihan Daoud
From the day I made my first appointment. The team at Maida smile were amazing. They didn’t treat me like a customer but more like family. They have been great in every step in FINALLY GETTING MY DREAM SMILE from the receptionist to my dentist Pedro Laranjeira I can’t thank you enough and of course Pedro Laranjeira beautiful wife…… they are very professional and understand that I had to change my appointment now and then for work commitments and they were very understand. I will defo recommend them 100% not forgetting how chic the office is
Tracy Mensah
I was very nervous about having a dental implant but was immediately put at ease by Dr Pedro Gutierres. The procedure was explained in full and the care both during and after treatment has been of the highest standard. I received advice on how to look after my implant and have had no problems. I highly recommend.
Dawn Briggs
I had 7 implants installed by Dr Pedro Gutierres, including one which required a bone graft. In my 70 years I’ve had some bad experiences with dental treatment so it takes a lot for me to relax but, from my initial consultation, through to the end of the treatment, I had complete trust in Pedro’s expertise: preparations for the treatment and after-care were extremely thorough and fully explained, the treatment itself was surprisingly endurable (considering what was involved) and the implants have made a major difference to my life. If you are considering implants then I would whole-heartedly and sincerely recommend Pedro for this work.
Russ Hickman
I couldn’t recommend Maida Smiles enough: the care, attention to detail and the way Dentists and Nurses made sure I felt comfortable and safe throughout the treatments was incredible. Dr Pedro explained the treatments in detail to me and I have never felt under pressure to proceed… but I am very glad I did as I am happy and confident to smile again!
Mariana Pinheiro
Highly recommend this place to anybody looking for a friendly and trustworthy practice with an incredibly friendly and patient staff. Dr Pedro has been one of the best dentists I’ve ever had, he made me feel comfortable and were very knowledgeable in explaining every step of what he was doing and answering all of my questions. Amazing thorough the procedure, excellent communication, superb and professional treatment. I hope they keep it this way for a long time.
Joas Souza
Dr Pedro is a very good, confident and experienced professional. I’ve known him for some years now and always felt well cared for, either for small or bigger treatments.The facilities of the clinic are amazing and all the staff are very friendly. Highly recommended.”
Nelson Cafruni
I went to different clinics before, and nobody could really convince me until Maida Smiles did. The team here makes you comfortable , shows you different options and different budgets , and doesn't try to make you go only for one plan. I felt that the team was knowledgeable and wanted to help me , so that's why I decided to start
Diogo
I was referred to Dr. Pedro who did such a wonderful job with my teeth. The staff was extremely professional, they put you at ease, and it just made the whole experience easier. I've never looked back since
Theresa
"I told him, 'I want beautiful teeth, beautiful but natural, I don't want fake looking teeth.' Now I smile, I talk... it just makes you more confident. If you wear a beautiful nice suit... you have beautiful teeth, then it's like a perfect."
Louca
"I went to my hygienist a little while ago, and she said to me they were the best implants that she'd ever seen and she would never have known that they weren't my real teeth."
Sharon
Dr. Pedro explained the process of Invisalign to me. It sounded easy, it was quite a quick process, and the end result is my teeth moved back, so I'm quite happy.
Soula
I feel like I've not just developed a professional relationship with my dentist and the staff... they become more like friends as well, because of the kind of compassion and sympathy that they give you during treatment.
Alvin
"After a friend recommended the clinic, I was referred to Dr. Pedro, who did such a wonderful job with my teeth. The staff was extremely professional; they put you at ease, and it just made the whole experience easier. They have more than met my expectations. I have to have a few more implants, and I'm not afraid anymore. Now, finally, I can live again."
Lesley
"After not having a great experience with previous dental treatments, I was desperate for someone that I trusted. I broke a tooth, and even before I saw Dr. Pedro, he reassured me that I was going to be fine. He made me feel very comfortable and at ease. It was an amazing experience, from not only Dr. Pedro but also all the staff in the clinic, and I would definitely recommend [them] ".
Mariana
I chose Maida Smiles because of the reviews and a friend who was really happy with the results. The results definitely met my expectations. My expressions are much more smooth than before and it really makes the difference
Carolina
I’m very grateful for the quick and efficient service I received when I needed an emergency appointment. The staff were kind and accommodating, and the dentist provided clear, helpful advice that made a real difference. The whole experience was reassuring. Highly recommend their professionalism and expertise!
Safiya Guled
I am always anxious when having to see the dentist and this was one of my first experiences with Maida Smiles. The dentist, Benedict Harrison was very reassuring and immediately put me at ease. He was quite lucid in his explanations of what had to be done, etcetera, and is making good progress with the ongoing treatment. Also, the rest of the staff were friendly and just plain nice.
John Jacobs
Wow wow Dr Claudia is the best dentist in London, my kid adores her and it is always a pleasant visit. Can’t recommend her enough
Bel Cohn
I am delighted with the results of my replacement veneers.
Dr Benedict Harrison was very good at talking me through the whole process and keeping me informed during the treatment if there were any issues - which there weren’t.
He has a charming demeanour which is an added advantage in a dentist, who I think we all agree are not our favourite people, overall a 5 star experience.
Karen Shepherd
I went to the Maida Smiles Clinic for the first time and had the most wonderful experience! I am dentist phobic but strangely left the place with a big smile on my face (literally!). The receptionist was super kind, Susan was impeccable and very helpful, and I had my appointment with the most amazing dentist Dr Mafalda Vilhena. Couldn’t recommend her enough. She explains the whole procedure and is very rigorous in her work. Congratulations to Dr Pedro Gutierres for creating such an excellent working environment and to all the team. I will be back and bringing my family along and we don’t even live in Maida Vale. Thank you for such an impeccable job on my teeth and for taking my fear of dentists away. Note: they don’t cover NHS, only private bookings or with insurance.
Maria Monteiro
Even a single gap in the teeth increases the chances of gum disease, which might even develop into gum recession later.
When teeth are missing, the gum is more exposed to debris, which can inflame the gum and put your oral health and hygiene at risk.
As gum disease is also a trigger for bone loss, having the two existing problems in some situations advances the resorption of bone, increasing your chances of losing more teeth.
When you choose Maida Smiles and Dr Gutierres as your implant surgeon, patients should expect much more than quality care.
Our modern London practice has invested heavily in modern technology and diagnostic equipment that means we can assess and plan your treatment in much more detail. Patients also experience faster appointments without the need for gooey restorations or waiting for a dental laboratory to return their prosthetics.
Call 020 3583 9809 to be treated in a few hours or leave us a message using the form below
Subject to status. Terms and conditions apply.
Maida Smiles Clinic has partnered with Tabeo Tech Limited to offer 0% dental finance over 12 months.
We also offer interest-bearing options available up to 36 months at a 9.9% APR.
