Archive for the ‘Fear of the Dentist’ Category

Preventing Gagging Reflex

Friday, May 3rd, 2013

I have not been to the dentist in two years. Every time I go, I gag so bad that the dentist tells me to get out of here. There was this time when I got kicked out of the dentist because they thought I was going to beat them up because I was forming a fist during the appointment. Is there a way to somehow suppress or numb my gagging? But yeah, my gagging is SO BAD that my mouth won’t allow a mouth mirror to enter it. I want to cooperate to get out of there ASAP but my gagging gets in the way. Any suggestions?

Thanks, Peter in Illinois

Dear Peter,

As dental professionals patients gag often, however there are some that have a severe gag reflex so your not alone. Research suggest, that about one out of every five patients gag during a routine dental exam or while dental work is being completed. Many people have a fear of the dentist or get nervous prior to an appointment and this brings on anxiety. We are not sure if you experience anxiety or not but it sounds like you would truly like to get your dental work finished, however having anxiety prior and during treatment makes ones gag reflex a lot worse.

As by now, your dentist knows of your gagging problem and should be willing to work with you. If not, find one who will. If you choose to find another dentist, it is important to let him or her know of your gagging problem. There are several ways to suppress ones gagging reflex. One way to prevent gagging is to have a topical numbing agent, like hurricane spray, dispensed in the mouth. This will numb the tissues and help suppress gagging. Another option is to put table salt in your mouth and swallow it. Just a dash of salt actually prevents gagging well. A rubber dam can used during restorative dental treatment. This device is placed over the tooth that is getting worked on to prevent debris and water from reaching the back of the throat. Some patients even benefit from nitrous oxide, which is laughing gas. This actually helps reduce anxiety and relaxes one, however you are still aware of what is happening around you. This adds a little more expense to your treatment, however well worth it and significantly reduces most gagging in those who suffer from it.

When gagging is severe it may be difficult at times for even a highly experienced dentist to treat a patient. Most of these types of patients though suffer from a dental phobia as well. Valium is a sedation dentistry technique where the dentist issues the prescription drug to help sedate the patient and make them feel relaxed and comfortable. As a last resort, one can be put to sleep by general anesthesia. Most dentist are not qualified to perform this, however those trained in this field have gone into dental offices and worked with the dentist in sedating patients. This usually is not covered under dental insurance and can cost several hundred dollars.We recommend you consult with your dentist regarding your options. Since gagging is a problem for you we also advise you to keep your dental appointments short and schedule them in the mornings. Best of luck.

This post is sponsored by Cleveland dentist Hylan Dental Care.

I am terrified of dental treatment. Help!

Tuesday, April 9th, 2013

I am terrified of going to the dentist and truly want to overcome this fear.  Any suggestions?

Thanks,

Carl in New Jersey

Dear Carl,

You are not alone.  Thousands of people fear the dentists for many reasons.  I applaud that you are attempting to face this fear and overcome it.  The best thing that you can do is to go to the dentist when you are not in pain.  A lot of our dental fear is rooted in past experiences.  Look for a dentist that specializes in dental anxiety.  These offices understand the fears associated with dental treatment and are ready and willing to help you. They cater to cowards and often allow extra time with patients so that you will not feel rushed and anxious.  You are going to need a few gentle dentist appointments with the right dentist to rebuild your confidence. You will need to build a relationship of trust between you and the dentist or hygienist and this will take time.

Before treatment, ask them to “Show and Tell” by explaining what they will be doing and what instruments they will be using. This is to ensure that there are no surprises and helps you feel more in control. If the sounds of the office trouble you, you can bring headphones and music to listen to if you think that might help.  Also bring a friend with you to the appointment for support. It is comforting to know that someone who cares is waiting for you after your appointment.  If things are still too overwhelming, your dentist may suggest a mild sedative before your appointment or even nitrous oxide sedation during treatment.  Nitrous oxide is sedation dentistry in the form of a gas that relaxes you while you are in the dental chair.  It may be something that will help you until you get a few appointments completed and begin to feel more comfortable.  With some perseverance and the right dental office you can overcome or at the very least, manage your dental fears.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Fear of the dentist

Friday, March 15th, 2013

I admit, I have a mega fear of the dentist. I hate needles of any kind and I have recently been informed that I need to get complete dentures. I want to be put out! Can they do this at the hospital so I can be put to sleep?

- Carl in Arizona

Carl,

It is not unheard of for a hospital to admit dental patients so they can use general anesthesia. That said, it is very expensive and not every dentist would be willing to do it. Fortunately, there are many dentists that offer sedation dentistry. There are special sedation training and certifications which enable dentists to perform teeth extractions in their own dental office. Or many dentists work with oral surgeons that offer IV sedation or general anesthesia at their office so you can be put out for the dental procedure. Going this route could end up saving you thousands of dollars. Below is some more information about the pros and cons of oral sedation, IV sedation, as well as the use of general anesthesia.

With oral sedation or what is also known as sleep dentistry:

  • You won’t remember anything about the procedure
  • You won’t feel anything
  • You are sedated but you are still conscious. This means that you will still be able to breathe on your own.
  • Popular medications used along with sedation are anti-anxiety drugs, depressants, nitrous, and even tranquilizers
  • Not as expensive as general anesthesia.

IV Sedation:

  • Recovery time is very short
  • You are conscious and can communicate during the procedure
  • Feel sleepy during appointment
  • Patients are relaxed and calm, feel sleepy
  • Sedation is quick
  • Dosages can be adjusted and individualized
  • Higher level of sedation than oral sedation

General Anesthesia:

  • Unconscious, no control of muscles or other protective reflexes
  • No communication during procedure
  • Breathing will be done with tube to keep airway open
  • Drowsiness common for longer periods of time after treatment
  • Higher risk for other complications
  • Costs the most out of the sedation options.

Hopefully this provides you with enough information to figure out how you want to address the extraction of your teeth in preparation for dentures. Your personal doctor and dentist have all your general health information, so discuss the best option for your specific case with them.

This post is sponsored by Cleveland dentist Hylan Dental Care.

 

Do all dentists offer sedation dentistry if I’m terrified?

Wednesday, February 6th, 2013

I am trying to find out if every dentist will offer sedation dentistry to help with anxiety? I get pretty worked up at the thought of going to the dentist and was wondering if all dentists have this option or if I need to see a special dentist that advertises for it.

- Gentry in Ohio

Gentry,

You are totally not alone if you are scared of the dentist. Not every dentist offers sedation dentistry. But there are many dentists out there that actually build their practice and cater to cowards in helping fearful patients. If you are extremely fearful, you may want to do your homework and look around at your options. A gentle dentist uses techniques to help distract you like letting you watch movies or listen to music. Nitrous oxide is another option that may be available, which is often referred to as laughing gas. Another gentle dentistry technique is that they will also go very slowly and will stop to answer any questions you have and help you work through any discomfort.

The petrified dental patient will be lucky to even set foot in the office. Oral sedation is a completely safe and effective service that helps fearful patients get the care they need. All you have to do is take a pill about an hour before the appointment that the dentist prescribes. The medication will make you feel sleepy and it is pretty likely that you won’t remember anything about the dental procedure. Often times a very fearful patient may need a lot of work done at once. Sedation can help the dentist to do several procedures during this time which may have been difficult otherwise.

The bottom line is to have a trusting relationship with open communication. If you find the right dentist, hopefully you won’t even need sedation. But the right dentist won’t make you feel bad for how long it has been since you were in and will help you to get back into a regular routine of cleanings and office visits with the right demeanor and approach.

This post is sponsored by Cleveland dentist Hylan Dental Care.

I am in pain after my appointment

Monday, November 12th, 2012

I’ve been on the search for a new dentist and tried a new one out today. I am very unhappy with the appointment. I had to wait for over 30 minutes and when it was finally by turn, she was very rough during the checkup. My previous dentist would hurt me a little bit but would be more gentle when I told her about it. Today I even yelled out, “ouch” in the middle of the cleaning. She didn’t even stop or ask if I was okay. Then when I checked out, I was charged for a filling. This angered me because I didn’t even know the dentist was doing a filling, I wanted a cleaning. Then, after I got home I had pain on the opposite side from where the filling is. Do you know if it’s difficult to change dentists? And how long do I need to wait to call in about this pain?

- Michelle in Kansas

Michelle,

So sorry to hear about your negative experience. If the pain does not subside in the next couple of days, you need to call back in to let them know about it. Your jaw may be sore or tender from begin open or in an uncomfortable position during the appointment. Sounds like a lot of miscommunication though. You need to consider seeing a new dentist. This dentist should behave ethically and willingly transfer over your dental records / notes to the new dentist.

There are many other dentists out there that are very compassionate and understanding, especially if you are anxious or deal with any kind of dental fear. There are many gentle dentist techniques available today and many dentists actually cater to cowards with their approach. If you are really scared or nervous, then you may even consider sedation dentistry. This simply involves taking a pill before your appointment. Many say they can’t even remember their appointment after it’s done. Or if you are just a bit anxious, maybe nitrous oxide can help you relax. Bottom line is that you need to find a dentist you can trust and that will stop and be more attentive to your concerns and needs.

This post is sponsored by Cleveland dentist Hylan Dental Care.

What can I do about my fear of the dentist?

Monday, June 11th, 2012

First of all, if you have something mean to say, save it. I understand how ridiculous this sounds, but I am extremely petrified of the dentist to the point where I have panic attacks and crying spells weeks in advance of my appointment. In about two weeks I have to have a cavity between two of my front teeth filled. My boyfriend is coming with me but he can’t hold my hand, he can only sit in the room. I’m so terrified I can’t get past the anxiety to do much of anything.

I’ve really only had bad experiences with my dentist. I had a tooth pulled without Novocaine, I get sore from having my mouth open for a long time, the hygienists have repeatedly tried to scare me into getting my wisdom teeth removed, they belittle me and try to scare me into flossing more often (which I already do every day) by telling me that I’ll get cavities between all of my teeth. I’m only seventeen, but as soon as I can I’m going to get a new dentist.

Sorry for making this so long, but I have a few questions. Do dentists allow you to listen to music while getting procedures done? The sound of the drill makes me panic. Is it possible to get a small cavity filled without Novocaine? Would that be a really bad idea? I just hate the pain of the shot and the lingering numbness for hours afterward! Do Novocaine shots hurt more if delivered in the front of your mouth? What is the technique for filling a cavity between the front teeth? Are there any relaxation techniques I can practice? My mom thinks I’m overreacting and I highly doubt she would allow me to be medicated, i.e. nitrous oxide, Alpraxolam, etc.

Sorry again for the length of this question. I know I sound wimpy but hopefully someone else on here will understand!!

Thanks Megan,

Dear Megan,

Many people have a fear of dental treatment, so don’t feel embarrassed. Talk with your mother and the dentist about some options that can be offered to help you feel calm and relaxed while having your dental work completed. Nitrous oxide will help you feel more at ease and you can even ask your dentist to prescribe valium which will help calm your nerves. Another option would be sleep sedation however may cost several hundred dollars. Small cavities can be filled without a shot just tell your dentist you prefer not to have one. Music will help you relax and your dentist should have no problem allowing you to listen to your iPod. Filling a cavity in a front tooth is no different than having a filling done anywhere else in the mouth.

This post is sponsored by Cleveland Implant Dentist Hylan Dental Care