UNDERSTANDING DENTAL PHOBIA

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Dr. Guy M. Lewis

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6/18/2018

Many people are afraid of going to the dentist. In fact, the Diagnostic and Statistical Manual of Mental Disorders estimates that roughly four percent of people have a fear of receiving dental care. For some “dentophobics,” the fear is so intense that they actually avoid routine dental checkups and instead suffer through the pain of toothaches, periodontal (gum) disease, and other dental problems. If you have dental phobia staying informed may help ease your anxiety. With this in mind, let’s take a look at some common dental fears and how you can overcome them.

Common Dental Fears

  • Pain
  • Embarrassment
  • Needles
  • Crying
  • Panic attacks
  • Gagging
  • Choking
  • Being numb
  • Being awake
  • Being under anesthetics
  • Receiving treatment
  • Losing control
  • Becoming a victim of abuse or mistreatment
  • Exorbitant dental costs


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Regardless of your dental fear, several treatment options are available to help you overcome this terrifying condition.

Psychological and Behavioral Treatments

Many of these techniques are employed by the dentist. For example, some dental professionals create a spa-like atmosphere with soothing candles, running water, and incense for a relaxing environment. Other techniques include explaining dental procedures to the patient before administering care, asking for permission to continue, inviting the patient to stop treatment during procedures, and setting aside time for breaks. Many dentists also use specialized relaxation techniques. This may include breathing exercises, muscle relaxation techniques, and other cognitive strategies. Gradual exposure or desensitization is another technique used to treat dental fears, which involves slowly introducing a phobia to a patient, say a drill, until the fear is greatly reduced or eliminated through learned relaxation skills.

Sedation

Sedation provides patients with a relaxing dental experience through the use of a sedative. This technique induces a tranquil state so patients remain at-ease during the dental procedure, and sedatives are available in two forms: gas or IV (intravenous) injection. For inhalation sedation (laughing gas), the patient is still cognizant of the procedure but remains in a relaxed state. IV sedation, on the other hand, provides much deeper tranquility and the patient may not be aware of what’s happening or remember anything after treatment.

Other Tips for Overcoming Fear

  • Be candid with your dentist and explain your dental fears
  • Ask your dentist to provide detailed explanations before administering care
  • Take deep breaths and think of something calming (e.g. the beach)
  • Wear headphones with relaxing music or use earplugs to block out the sounds
  • Establish a signal (e.g. a raised hand or finger) to stop your dentist or hygienist if you’re uncomfortable
  • Join a support group for people suffering from dental phobia
  • Seek professional therapy from a psychologist or psychiatrist

Here at the Texas Center for Cosmetic & Implant Dentistry, we always want our patients to feel relaxed and comfortable during their visit. If you have any questions on how we can help you during your next visit, please contact us.

I am not new to Dr. Lewis' dental practice. The doctor and the staff are very professional and friendly. Penny and Cristine have been very accommodating of my very busy work schedule. I had a full day procedure and Ona did everything she could to make it comfortable. I had multiple dental choices and am pleased I chose Dr. Lewis. He is a true artist of his craft. I would recommend his practice to anyone.

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I have been a cosmetic and medical patient of Dr. Lewis and his staff for over a decade. The level of customer care and service is unmatched, and the quality of the work is at the most exceptional level. My husband, also a patient, and I receive compliments on our beautiful smiles at least once a day. I would not trust anyone else with my smile other than Dr. Lewis.

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Dr. Lewis and his staff are very professional, kind and they always help me feel at ease. They also do great dental work!

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