Solutions to dental anxiety come in many forms. When left untreated, many dental problems only get worse. We can help empower patients with dental anxiety to take the necessary action to treat their underlying conditions.
Solutions to dental anxiety are available at Oak Tree Dental in Poway and the surrounding area. Fear should never get in the way of your health. Call us at (858) 748-2101 to learn more and schedule an appointment today.
What is dental anxiety?
Dental anxiety is a term used to describe feelings of fear, anxiety, or stress associated with visiting a dentist or undergoing a dental procedure. The Adult Dental Health Survey (2009) found that 12% of adults had extreme dental anxiety, while over a third (36%) had moderate dental anxiety. These feelings are quite common because of fear or trauma related to certain triggers, such as needles, drills, or the dental setting in general, that are brought on in early childhood. However, dental anxiety and phobias are often the result of avoiding crucial dental appointments and can significantly affect oral health.
Dental anxiety or dental phobia
The terms dental anxiety and dental phobia are often used interchangeably, although they have a few slight differences. Dental phobia refers to an irrational fear that prohibits an individual from visiting a dentist or who may incur severe physical and mental symptoms when at the dentist. Some of these symptoms include sweating, racing heartbeat, crying, panic, and withdrawal. Patients with severe dental anxiety or phobia are generally advised to seek psychological help as their anxiety may be related to a more serious condition.
“However, dental anxiety and dental phobia are often the result of avoiding crucial dental appointments and can significantly affect oral health.”
Causes of dental anxiety
Patients of all ages and backgrounds can have dental anxiety. A multitude of factors may contribute to someone's unease at the prospect of being in the dentist's chair, including but not limited to fear of anesthesia, fear of injections, fear of pain, feelings of embarrassment, and feelings of helplessness.
All of the above are valid reasons to be anxious. Still, they do not have to overtake a patient's dental experience. Patients should be open and honest with their dentist about their anxieties, as this is the first step to phobia management. At Oak Tree Dental, we believe communication is key to a successful dentist-patient relationship.
“Patients should be open and honest with their dentist about their anxieties, as this is the first step to phobia management.”
Coping with dental anxiety
Dealing with a dismissive dentist may only make the problem worse. Therefore, the first step to managing dental anxiety is finding the right dentist. Patients should also ask office staff about any recommended coping strategies and agree on a signal to let the dentist know if they need to take a break.
Mindfulness techniques can also help. Patients may want to try breathing exercises or doing body scans while in the dentist's chair. Others may benefit from distracting themselves by doing things like wearing headphones or occupying their hands.
Additionally, patients should let the dentist know if they are particularly sensitive to pain, even with local anesthesia. There is no need for patients to feel embarrassed about asking questions or being open about their fear. This is the only way to develop a truly individualized plan to attack one's dental anxiety.
“There is no need for patients to feel embarrassed about asking questions or being open about their fear.”
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Some patients with more severe dental anxiety may require more intensive management measures. These include:
- Relative Analgesia: Also known as “laughing gas,” relative analgesia consists of patients receiving a combination of oxygen and nitrous oxide through a mask fitted to their face. This treatment is quick to take effect and also quick to wear off. Patients remain awake but feel relaxed for the procedure.
- Anxiety Medication: Typically, anxiety medication for dental anxiety comes in the form of a pill. It may be prescribed either by a dentist or a doctor. The patient will take a single, short-acting dose about one hour before their dental appointment.
- Conscious Sedation: Conscious sedation is a form of intravenous (IV) sedation administered either by a sedation dentist or an anesthetist. Patients under conscious sedation may drift off into a light sleep, making this known as “twilight sedation.”
- General Anesthesia: General anesthesia is the most intensive form of sedation, administered through a combination of IV medication and inhaled gases. Patients are put fully to sleep and will require pre- and post-operative visits.
Not all forms of sedation are appropriate for everyone or every dental procedure. Our qualified team works closely with our patients to take the proper measures to provide the most comfortable experience possible.
“Some patients with more severe dental anxiety may require more intensive management measures.”
Questions answered on this page
Q. What causes dental anxiety?
Q. How can I cope with dental anxiety?
Q. Can I be sedated for my dental anxiety?
Q. How can I ease my child's dental anxiety?
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Children & dental anxiety
It is not uncommon for parents to experience dental anxiety on their child's behalf. Parents should maintain a calm exterior as children will pick up on any anxiety displayed by their parents. Parents should refrain from telling their children that something will hurt or be painful, nor should they promise a reward for going to the dentist. Doing so will only cause children to anticipate something unpleasant and act accordingly. While parents should tell their children about any upcoming dental appointments, they should not overload their child with too much detail about what to expect. Dentists have received the training to give simple, non-threatening answers. Parents should prioritize stressing the importance of dental hygiene to their children instead.
“Parents should maintain a calm exterior … as children will pick up on any anxiety displayed by their parents.”
Frequently asked questions
Dentists who understand anxiety use simple techniques to keep their patients calm during treatment. For example, they may inform them about what they are feeling, will be feeling soon, and for how long. They take frequent breaks and ask the patient for permission to continue or if they would like to stop completely. They can also adjust anesthesia levels to keep the patient comfortable even after the procedure.
Severe anxiety or phobia, dental or otherwise, should be properly diagnosed and treated by a certified psychologist as they can be a result of another mental disorder or condition. Also, dentists have limited training in treating dental anxiety and will only use the techniques they know. We may refer patients to a psychologist or prescribe anti-anxiety medications as needed.
According to a 2014 study, "Dental anxiety, or dental fear, is estimated to affect approximately 36% of the population, with a further 12% suffering from extreme dental fear." Dental anxiety affects people of all ages and backgrounds for various reasons.
The most common symptoms of dental anxiety include fear or failure of visiting a dentist, sweating, racing heartbeat, low blood pressure, crying, and withdrawal. There is a long list of common symptoms that patients may also experience.
Dental anxiety can stem from a variety of different factors and can arise at any time during our lives. Some patients acquire dental anxiety as a result of a new dentist, past experiences of a friend or family member, or associated fear from online content about a procedure. In most cases, this is a mild or singular form of anxiety.
Dental terminology
Cosmetic dentistry is generally used to refer to any dental work that improves the appearance (though not necessarily the function) of a person’s teeth, gums and/or bite.
Tooth decay is when the enamel of the tooth begins to decay and cause erosion from plaque and tartar on the teeth.
Dental caries are also known as cavities and result from a lack of proper oral hygiene leaving plaque that forms tiny holes in the teeth.
A dental checkup is an appointment that involves cleaning the teeth, identifying any signs of infection and removing said signs of infection at least once every six months in the office.
A dental filling involves restoring the structure of the tooth by using metal, alloy, porcelain or plastic to fill the tooth.
A dental prophylaxis is a professional and detailed cleaning that involves the removal of plaque, calculus and stains from the teeth.
Dental sealants contain a resinous material that we apply to the chewing surfaces of the posterior teeth to prevent dental caries.
A dentist, also known as a dental surgeon, is a doctor who specializes in the diagnosis, prevention, and treatment of diseases and conditions of the oral cavity.
Gingivitis is the inflammation of gum tissue that results from plaque, other infections in the mouth and poor oral hygiene.
Preventive dentistry is the dentistry that focuses on maintaining oral health in order to prevent the spread of plaque, the formation of tartar and infections in the mouth.
Individual results vary. How long a treatment lasts, and how it looks and feels, depends on each patient.