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Overcoming Dental Anxiety: A Guide

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A dental patient covers her mouth with her hand in fear while looking at the instruments held by her dentist and hygienist.

Maintaining healthy teeth and gums is essential for both dental health and overall health, yet many people delay or put off seeing the dentist due to anxiety. While dental anxiety is widespread and nothing to be ashamed of, it can be overcome through different techniques like bringing a friend, taking anxiety medication, practicing meditation, or distracting yourself with media.

Working with a trustworthy and friendly dentist can make dealing with dental anxiety even more manageable, helping you ensure you still receive the care you need. 

What Causes Anxiety About Going to the Dentist?

Dental anxiety impacts nearly 36% of the population, but there is no single source. When you’re in the dental chair, you might feel vulnerable because you can’t see what’s happening and have to trust the dentist. This lack of control can heighten anxiety levels, and is often caused by:

  • Fear of pain
  • Fear of needles
  • Past negative dental experiences
  • Dental horror stories from others
  • Sound of dental instruments
  • Discomfort with the invasion of personal space

Lastly, embarrassment about dental health can contribute to anxiety. Some people fear judgment about the state of their teeth and gums, which can make them avoid the dentist altogether. 

Symptoms of Dental Anxiety

Some of the above causes of anxiety may ring true to you, while some may not. Being able to identify symptoms of dental anxiety can help you recognize that you have it, which is an important step in managing it.

Symptoms include:

  • Physical symptoms, including sweaty palms, a racing heart, and nausea.
  • Behavioural symptoms, including cancelling appointments, making excuses to avoid the dentist, and having difficulty sleeping the night before an appointment.
  • Mental symptoms, including intense worry or dread, leading to a cycle of negative thinking that reinforces anxiety. 

How Common Are Panic Attacks at the Dentist?

Panic attacks can occur in the dentist’s chair more often than you think. When anxiety becomes overwhelming, it can escalate into a panic attack characterized by intense fear, shortness of breath, and a feeling of losing control.

These episodes can be frightening, but it’s important to remember that they’re a response to fear and can be managed. If you experience panic attacks at the dentist, it’s crucial to communicate this with your dental professional. They can take measures to make you feel more comfortable and provide options to help manage your anxiety.

How to Overcome Dental Anxiety

Managing dental anxiety starts with acknowledging your fears and seeking help. Communication is key. Share your concerns with your dentist so they can tailor their approach to meet your needs. They might offer options like sedation dentistry, which uses medication to help you relax during procedures.

A patient carefully listens to their dentist explain an upcoming procedure as a way of dealing with dental anxiety

Another helpful tactic is gradual exposure. Start with simple, non-invasive visits to get used to the dental environment. Gradually work up to more complex procedures as your comfort level increases. With time and practice, your anxiety may decrease significantly.

Tips & Tricks for Easing Dental Anxiety

Avoidance is a common tactic for reducing anxiety, but that’s not helpful when it comes to taking care of your health. Fortunately, there are plenty of tricks and techniques available for working around anxiety. 

  • Practice Relaxation Techniques. Deep breathing exercises, guided imagery (thinking of a “happy place”), and meditation can help calm your nerves before and during your appointment. These techniques can reduce anxiety and make the experience more manageable.
  • Bring a Friend or Family Member. Having a trusted person by your side can provide emotional support. They can help distract you and keep you grounded during your visit.
  • Use Distractions. Listening to music, audiobooks, or podcasts can divert your attention from the dental procedure. Many dental offices also offer TVs or virtual reality headsets to help you relax.
  • Schedule Your Appointment at a Low-Stress Time. Choose a time of day when you’re least likely to be rushed or stressed. Early morning appointments can be a good option, as you won’t have time to build up anxiety throughout the day.
  • Anxiety-Relieving Medication. Many dentists typically use nitrous oxide (laughing gas) for procedures that can provide relief for anxious patients. However, you can also find over-the-counter drugs like Analgesia to provide pain relief and reduce moderate anxiety. You can speak to your dentist about being prescribed a short-acting anxiety medication to help with anxiety before the appointment.
  • Consider Professional Help. If your anxiety is severe, seeking help from a mental health professional can be beneficial. Techniques like cognitive behavioural therapy (CBT) can provide you with tools to manage your fear effectively.

Moreover, speak to friends about the dentist. Odds are you know someone else who also has dental anxiety, and you can talk with one another about the tools that you use to overcome your anxiety. 

Impact of Dental Anxiety on Your Health

Neglecting regular check-ups and cleanings can lead to cavities, gum disease, and tooth loss. Poor oral health can also impact your general health. Conditions like gum disease have been linked to heart disease, diabetes, and respiratory issues. Additionally, the stress and anxiety associated with dental fears can take a toll on your mental health. This can, in turn, lead to chronic stress, which affects your immune system and overall quality of life. 

By avoiding the dentist, you potentially risk your well-being. Fortunately, dental anxiety does not have to control your life. Hometown Dental understands that going to the dentist can be nerve-racking, regardless of age. Contact us today to see if our sedation dentistry can be a good option for managing your dental anxiety.

Written by Dr. JJ

Meet the leader of the Hometown Dental team — Dr. JJ!

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