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Anxiety Free Dentistry - Questions on Reducing Dental Anxiety

Q. Why do you need to have regular dental care check-ups?

A. Regular check-ups are needed to monitor your overall oral health. In addition to checking for cavities, your dentist examines the health of your entire mouth and surrounding soft tissues, checking for pre-cancerous or cancerous lesions, oral sores, and gum disease.

Your oral health is connected with your general health. Dental care check-ups can alert the dentist to other medical conditions that have symptoms in the mouth such as diabetes, nutritional deficiencies, and hormonal irregularities. Regular dental care visits are vital to prevent tooth decay, gum disease, and other conditions affecting your mouth.

Q. What can you do to feel more relaxed during a dental care appointment?

A. With the combination of modern anesthetics and new conscious sedation dentistry technology and techniques, many procedures only have minimal discomfort or are now entirely painless. Dental care providers want their patients to have maximum comfort and approach their treatments with a relaxed attitude and less dental anxiety.

There are a number of ways to decrease dental anxiety:

• Tell the dental care staff your concerns. Studies have shown that talking about your fears of possible discomfort actually reduces pain.
• Use visualization to picture yourself relaxed, or repeat messages that have a calming effect.
• Play your favorite music on a Walkman you bring with you (some dental offices are equipped with walkmans, too.)
• Arrange a signal with the dental care staff, such as raising your hand, if you need a break or feel discomfort.

Some dental care offices are now offering patients new options for stress-relief: hypnosis, self-hypnosis instructions, relaxation tapes, soft lighting, warm gel-filled eye masks, scented candles, and massaging pillows. These are helpful in reducing stress in patients that suffer from dental anxiety. Be sure to avoid the use of stimulants such as caffeine prior to your visit.

Q. Aromatherapy has a relaxing effect for many people. Is this effective for patients undergoing dental treatment?

A. Research studies conducted at Case Western Reserve University have noted that the use of aromatherapy has a significant positive effect on dental anxiety patients. Two-thirds of the patients receiving aromatherapy were more calm and relaxed than those patients without exposure to the scented fragrance oils.

Dentists are concerned about your comfort. Ask your dental provider if aromatherapy is available in the office to help reduce dental anxiety, or if you can bring your own for your dental care visit. Essential fragrance oils are available in health food stores, spas, and some grocery and drug store outlets.

Q. Are dental patients who are considered at risk for bacterial infections advised to take antibiotic medication prior to their appointments?

A. Certain medical conditions, such as heart valve problems or a recent total joint replacement, are considered at risk for infection at the site of the cardiac abnormality or joint replacement. This infection results from bacteria from the mouth entering the bloodstream and working its way to these vulnerable areas.

Consequently, dental care procedures likely to result in bleeding from the gums or mucous membranes will require patients to take antibiotics prior to that procedure. Such procedures could include, but are not limited to, extractions, implant surgery, incision and drainage for oral infection, and professional teeth cleaning.

Guidelines have been established by the American Heart Association and the American Dental Association to provide dentists and physicians with information regarding appropriate regimens for antibiotic therapy. It also outlines those situations when antibiotic therapy is or is not indicated.

There also are other medical conditions warranting antibiotic therapy prior to dental procedures. Be sure to update your dentist regarding your medical history. Your dentist and/or physician will advise you of any special needs.

Q. Where can you receive dental services if you do not have the money to cover the related expense?

A. If you do not have either dental insurance or the money to pay for a dental visit, you should inquire about financial aid from various sources within your community.

You may need to make several calls, but the local dental society, the local public health department, or social service agencies may be able to direct you to sources of assistance. Also, check local hospitals, dental schools, and outreach clinics that may be able to provide dental services at a reduced fee.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Enjoy Your Dentists and the Dentistry Your Parents Never Had

What did your parents tell you about going to the dentist? Did they talk about how your dentists could help you take care of your teeth, gums and even your smile? Instead, they probably emphasized the negative: "It won't hurt much," or "Your toothache will be gone."

For most of us, the stories we heard about visiting dentists described how the person in the white jacket helped relieve tooth pain. We didn't hear about the dentists creating opportunities for good dental health and an attractive bright smile.

Comparing the dentistry your parents knew with the new dentistry that has emerged over the past ten to fifteen years is like comparing the computers of the 1950's with today's powerful desktop machines. The differences are vast. Yet, as dental care consumers, most of us have not updated our old stories. You haven't added new chapters about the great possibilities for dental care and dental well-being that the new dentistry offers.

You can experience these new possibilities for oral and dental health by creating partnerships with your dentists and their dental teams. You can take advantage of innovations and advances in:

• Treatment technologies and equipment
• Specialization
• New materials
• Preventive techniques
• Scientific knowledge
• Cosmetic enhancements like invisible fillings
• Integrated multi-specialty treatment teams

Today's dental care teams have the knowledge, skills and information to help create a positive dental health future. A partnership is based on communication and mutual responsibility, and you can actively foster that first communication.

You can begin to partner with your dentists and their dental care teams by:

• Asking about advancements in treatment technologies and materials.
• Finding out what steps you can take to maintain healthy teeth and gums.
• Creating a positive dental future through the recommended steps of flossing and brushing.
• Taking an active role in contacting your dentists and dental care team at the first sign of any concern about teeth or gums.
• Using your curiosity to make sure you understand the reasons for a referral to a specialist such as a periodontist or endodontist and the outcomes your dentists are seeking.

Your parents didn't have the choices or the opportunities that you have today for optimal dental health. The new dentistry can create more than a warm bright smile; it can improve your overall health.

The future of your dental health is in your hands just as the future of your bodily health is. Taking steps to increase your knowledge about the new dentistry will provide great benefits for you today and tomorrow.

By Brian DesRoches, PhD

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.