Posts for tag: dental anxiety
Professional basketball player Lamar Odom is sometimes known as “the candyman” because of his notorious fondness for sweets. But when his sweet tooth finally caught up with him — in the form of a mouthful of decayed teeth — the six-foot-ten-inch, 230-pound hoops star admitted that he had been avoiding treatment… because he was afraid of going to the dentist!
It took two Kardashians (Khloe and Kim) and a painful toothache to finally persuade Odom to sit in the chair. Once he did, it was found that he needed a root canal, a wisdom tooth extraction, and several fillings. Yet the fretful forward sailed through the whole set of procedures in a single visit, and walked out with a big smile afterward. How did his dentists make that happen?
Put it down to the “magic” of sedation dentistry. With anxiety-relieving medications that can be delivered orally (in pill form or by gas) or intravenously (into the bloodstream), the techniques of sedation dentistry can help even the most fearful patients get the dental care they need. That’s good news for about 50 percent of the population, who admit they’re at least somewhat afraid of the dentist — and even better for the 15 percent who avoid dental care completely due to their fear.
Dentists have a number of ways to ease apprehensive patients through a dental visit. An oral anti-anxiety drug can be given in pill form about an hour beforehand. Nitrous oxide (sometimes called “laughing gas”), which is administered by a mask placed over the mouth or nose, may also be used to relieve anxiety. The calming effects of these medications help make any nervousness melt away — and in many circumstances, mild sedation is all that’s needed to ease the fear.
For lengthier or more complex procedures, intravenous (IV) sedation may be recommended. Unlike deeper (unconscious) sedation, IV sedation doesn’t cause “sleep.” Instead, it puts you in a comfortable semi-awake state, where you can still breathe on your own and respond to stimuli… but without feeling any anxiety. And when the procedure is over, you probably won’t have any memory of it at all.
IV sedation can be administered by dentists who are specially trained and equipped with the proper safety equipment. While sedation is being provided, you will be monitored at all times by a dedicated staff member; when it’s over, you will rest for a while as the medication quickly wears off. Then (as is the case with oral sedation), you’ll need another person to give you a ride home.
Does sedation dentistry really work? Lamar Odom thinks so. “I feel so much better,” he said when his 7-hour procedure was over. “I feel like I accomplished something.”
Three quarters of people surveyed have admitted to having some fear about going to the dentist. About 10% to 15% are so afraid that they never go. Because they put off checkups and treatment they end up with toothaches, infections, and even lost teeth.
You should know that even those who are most afraid of the dentist can learn to reduce their fear and have dental treatment in comfort.
How does fear of the dentist get started?
Fear is learned behavior. People may learn it from stories they have heard from their parents or others, or they may learn it first hand by having a bad dental experience. Once the fear is planted, they avoid going to the dentist, so there is no way for them to learn that a visit can be a positive experience.
If you are among those who fear going to the dentist, the fearful feelings you have can be enough to reinforce themselves. Sweaty palms, rapid heartbeat, and a queasy stomach are not pleasant, and if you experience such feelings they may be your main memories after an appointment, even if the visit was not frightening in itself.
Dental fear can be a subconscious automatic response. This means that you can't control it and make it go away. But there are things you can do to reduce your fear and feel comfortable during your appointment.
Move slowly and get help to conquer your fears.
You need to have new, positive experiences to counteract the bad experiences you had in the past. Realize that you are not alone, many people share this fear. Then talk about your fears with our office. We will start by doing things that cause only mild or no anxiety. You want each visit to be a good experience, so you are able to leave our office with a feeling that this was okay, and you can do it again. It may take a while to train yourself to get over your fears, but we have helped many people accomplish this — and you can, too.
Contact us today to schedule an appointment to discuss your questions about any fears you may have. You can also learn more by reading the Dear Doctor magazine article “Overcoming Dental Fear & Anxiety.”