Dental Anxiety and Fear

The overwhelming fear of dental appointments can be a common cause of anxiety.  Many people visualize a drill-wielding man in a white coat just waiting to cause pain and remove teeth.  The reality, however, is very different.  The comfort, relaxation, and happiness of the patient are the primary focus of our clinic.  The staff at the practice will do whatever they can to reduce anxiety, allay fears, and provide painless, quick treatments.

Recent technological advancements have meant that in many cases, dentists are able to replace noisy drills with painless laser beams.  There are also a wide variety of safe anesthetics available to eliminate pain and reduce anxiety during routine appointments.

Here is a list of some of the most common dental fears:

  • Fear of embarrassment about the condition of teeth.
  • Fear of gagging.
  • Fear of injections.
  • Fear of loss of control.
  • Fear of not becoming numb when injected with Novocain.
  • Fear of pain.
  • Fear of the dentist as a person.
  • Fear of the hand piece (or the drill).

How can one overcome dental anxiety?

Dental anxiety and fear can become completely overwhelming.  It is estimated that as many as 35 million people  in USA do not visit the dental office at all because they are too afraid.  Receiving regular dental check-ups and cleanings is incredibly important.  Having regular routine check-ups is the easiest way to maintain excellent oral hygiene and reduce the need for more complex treatments.

Here are some tips to help reduce dental fear and anxiety:

Talk to us – We can't read minds.  Though it can be hard to talk about irrational fears with a stranger, we can take extra precautions during visits if fears and anxiety are communicated.

Bring a portable music player – Music acts as a relaxant and also drowns out any fear-producing noises.  Listening to calming music throughout the appointment will help to reduce anxiety.

Agree on a signal – Many people are afraid that the dentist will not know they are in significant pain during the appointment and will continue with the procedure regardless.  The best way to solve this problem is to agree on a “stop” hand signal.  Both parties can easily understand signals like raising the hand or tapping on the chair.

Sedation – If there is no other way to cope, sedation offers an excellent option for many people.  There are several types of sedation, but the general premise behind them is the same: the patient regains their faculties after treatment is complete.

Here are some advantages associated with sedation dentistry:

  • Anxiety is alleviated.
  • Few side effects.
  • More can be accomplished during each visit.
  • No needles
  • No pain.
  • Perfectly safe.
  • Procedures seem to take less time.

What kinds of sedatives are available?

The most popular types of dental sedatives are nitrous oxide, oral conscious sedation, and IV sedation. Before administering any sedative, the dentist must analyze the full medical history of the patient, taking note of any current medications.

Here is an overview of some of the most common types of dental sedatives:

Image of patient in chair during a procedure

Nitrous Oxide

Nitrous oxide, or "laughing gas," is used as a mild sedative. It is delivered through a nose hood, and is administered throughout the entire procedure. Nitrous oxide elevates the general mood and can evoke a general sense of well-being. Most importantly, it relieves anxiety and reduces pain during the procedure. In addition, some tingling and numbness may be felt. There are a few side effects associated with nitrous oxide, and it has been safely used in dentistry for many years.

IV Sedation

Intravenous sedation is a moderate type of sedation. Patients who have previously experienced IV sedation often report feeling like they slept through the entire procedure. Generally, IV sedation is used for shorter treatments. It is administered via direct injection into the bloodstream, which means the effects are immediate. Sometimes patients feel groggy and sleepy when the IV sedatives are withdrawn. This is why it is important to bring a designated driver for the drive home. 

​Oral Conscious Sedation

Oral conscious sedation is an excellent choice for people who fear needles. Oral medication is provided prior to treatment in order to induce a moderate state of sedation. Though oral sedatives do not cause sleep, they usually dull the senses. This means that most patients cannot remember the pain, smells or noises associated with the procedure. Usually, a dose of medication is taken prior to the appointment, and then topped up during the procedure as required. 

Ask about alternatives - Discuss all the options with us and decide on one that is effective and produces minimal anxiety.

If you have questions or concerns about how we can help you overcome anxiety and fear, please contact our office in Winnipeg.

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