- at August 26, 2016
- in Sedation Dentistry
Dental anxiety and the more severe dental phobia influence many Staten Island people, including some Staten Island Dental Care – Dr. Frederick Hecht patients. Today’s post answers some questions asked about this critical topic.
What are the long-term consequences of dental anxiety and dental phobia?
The most dangerous consequence is when a dental phobic patient delays dental care until a pain becomes excruciating. At this point, the issue is usually extremely advanced and requires extensive treatment.
Additionally, there are usually many other dental problems in varying stages of progression. Many oral conditions eventually cause malfunction in other vital systems risking general health and well-being.
There is also another anxiety at play, albeit a very ironic one. In addition to the emotional distress about dental treatment, the patient who avoids dental care starts panicking about the sorry condition of their teeth.
If I have dental phobia or anxiety, what should I do to protect my oral health?
Schedule an appointment with me, Dr. Frederick Hecht of Staten Island Dental Care – Dr. Frederick Hecht in Staten Island. There are several particular fears associated with dental anxiety and dental phobia. Fear of pain, fear of the unknown, fear of loss of control, and extreme embarrassment because of poor dental health are the most frequent concerns. During your consultation, we will address each of your specific fears and discuss them.
I have helped many patients manage their anxiety during dental exams and treatment. First off, we take things slowly. I explain exactly what is going to happen before each procedure. If the patient is embarrassed about their lack of daily oral hygiene or dental cleanings in the past, I assure the patient that I have treated many people who have neglected their teeth and nothing going on in their mouth will shock me. I never, ever give stern lectures on proper oral care – though I do give friendly instruction if requested.
If local anesthetic is required, I employ my finely-honed methods which cause zero to minimal discomfort. We agree upon a nonverbal signal, such as raising a hand, to cue me to remove my instrument from the patient’s mouth. Then he/she can take a break, breathe deeply, regain composure, ask questions, and learn the status of the procedure.
These methods go a long way to assuage anxious dental patients. At the very least, they help the patient get through the treatment that is necessary ASAP. With each subsequent visit, the patient is comforted by increased familiarity, greater confidence, and a strengthened relationship with me and my comfortable team.
What if I need more help to get through treatment?
In the Staten Island dental community, the terms “sleep dentistry” and “oral conscious sedation” are both used, however, they are not exactly the same thing. There are three main types of sedation used in dentistry.
Level 1: Nitrous Oxide
Nitrous oxide, or, informally, “laughing gas” is safe and effective. Nitrous oxide has been used in Staten Island cosmetic dental offices for decades because in many ways it is the ideal mild sedative. It goes to work at the first inhalation, relaxes the patient during the treatment without rendering them completely unconscious, and wears off quickly after the mask is removed. And no needles are required – a critical feature for the needle-phobic.
Level 2: Oral Conscious Sedation
Oral sedatives don’t start working as swiftly as nitrous oxide, but they help most patients achieve a deeper level of relaxation. These medications, however, do not usually bring about complete unconsciousness. Thus, oral sedatives and nitrous oxide are used in “conscious” sedation. Two common sedatives used by Staten Island dentists to assuage patient’s fears are diazepam and triazolam.
Level 3: IV Sedation
IV sedation produces actual “sleep dentistry.” Most patients are completely oblivious to the dental procedures they are receiving. IV sedation is beneficial for root canals, wisdom teeth extractions, multi-procedure smile makeovers, and oral surgery.
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