Treatments - Nervous Patients

Can I alleviate my fear of the dentist?

Yes!

Some people are so frightened of the dentist that they avoid dental treatment altogether but today’s dentists are sympathetic and in recognising that some patients experience real anxiety, they have developed new techniques and approaches to help. In fact if you check the Yellow Pages or dental websites you will find dentists who specifically mention treatment for anxious patients.

Modern dentistry is very customer focused and as such, a range of sedation and relaxation techniques have been developed to help anxious patients overcome their fears.

What is sedation?

An effective way to treat the most nervous of patients is via intravenous sedation (injection). The drugs have a relaxing and calming effect but don’t prevent communication between dentist and patient so treatment can still be carried out easily. Weight, age and medical condition must be assessed before suitability for this kind of sedation is determined but this would all be discussed during the consultation with the dentist. Usually the patient would need to be referred to a specialist clinic for this treatment.

How will IV sedation in the surgery affect me?

Whilst IV sedation will make you drowsy and unaware of the treatment you are undergoing, you will remain lucid enough to communicate and cooperate with the dental team. The effects of the sedative will take time to wear off and you won’t be able to drink alcohol, drive or work machinery during this time so it is important that someone can help you home after treatment and keep a careful eye on you for sometime afterwards. Your dentist will tell you how long it will be before the drugs are completely clear from your body.

What else can help?

You can be helped to feel relaxed by ‘relative analgesia’ sometimes known as inhalation sedation. This means breathing in a mixture of nitrous oxide and oxygen (‘laughing gas’) which quickly leads to a pleasant, relaxed feeling. At the same time, your dentist puts you at ease through calming speech. Although you may feel a little drowsy, you remain conscious throughout but any treatment given causes you no discomfort. You breathe in the mixture through a nosepiece which is very comfortable. You can’t overdose on the gas as the mixture quickly leaves your body if you breathe in one or two breaths of ordinary air. There are no after-effects and you are able to drive a car about 15 minutes later. Many dentists use this safe and effective technique.

Will I ever feel differently about visiting the dentist?

It is highly likely! As you get to know and trust your dentist, hygienist and other members of the dental team at your practice, your fears will dampen. In time you will come to see your regular visit to the dentist as just another part of your normal life.

Will I ever feel differently about visiting the dentist?

Nitrous oxide also known as ‘sweet air’ or ‘relative analgesia’ is a safe and effective sedative agent that is mixed with oxygen and inhaled through a small mask that fits over your nose to help you relax.

Nitrous oxide

Nitrous oxide, sometimes called “laughing gas,” is one option your dentist may offer to help make you more comfortable during certain procedures. It is not intended to put you to sleep. You will be able to hear and respond to any requests or directions the dentist may have. Your dentist will ask you to breathe normally through your nose, and within a few short minutes you should start to feel the effects of the nitrous oxide. You may feel light-headed or a tingling in your arms and legs. Some people say their arms and legs feel heavy. Ultimately, you should feel calm and comfortable. The effects of nitrous oxide wear off soon after the mask is removed.

Nitrous oxide is an effective solution for patients who are nervous or apprehensive of dental treatment or for those undergoing prolonged treatments.

Nitrous oxide is currently available at our Eltham surgery. The cost is £60 per treatment which includes a mask for your personal use or £55 for subsequent treatments with your own mask.

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