Tips for Surviving Your Next Dentist Appointment

It is estimated that between 5 and 8 percent of Americans don't go to the dentist out of fear and another 20% only go when absolutely necessary. When trying to conquer dental anxiety, "the main thing is to remember is that you are in charge," says Kendra Holdip Donaldson, RDH, who works in the cozy office of dentist Charles Grannum, DMD, in Brooklyn, New York. "People are self-conscious about communicating their anxieties." She points out that unless patients voice their fears, dentists and hygienists can't help make their appointments more bearable.

Related: Health Tip: Managing Anxiety Disorder

Grannum and his staff are part of a new generation of dentists and hygienists whose training includes methods of making people feel more comfortable and relaxed. In his office, they play soft music, offer healthy snacks and tea in the waiting room, and will set up a favorite DVD for patients to watch during longer procedures. Still, surveys show that the average person feels as much anxiety about going to the dentist as they did 50 years ago.

According to the American Dental Association (ADA), "Dental anxiety is a significant cause of poor dental health." Dr. Ada Cooper, ADA spokesperson, describes a vicious cycle: People are scared of going to the dentist so they postpone or put off making appointments altogether. Inevitably, this approach leads to bigger, more costly and, potentially, more painful problems down the road. However, there are easy methods anyone can try to make visits to the dentist less stressful and more pleasant.

Do your homework. If you are going to a new dentist, check out reviews of their practice. You can't believe everything you read online, but you may be reassured or spot some red flags. Donaldson suggests popping by your new dentist's office a few days before your appointment to "see what the vibe is." If you feel like it's friendly and pleasant, you will have less anxiety going to your actual appointment.

Listen to music. Bring a portable MP3 player and listen your favorite music or a podcast. Dentist.org points out that the sound of the ultrasonic scaler or dental drill triggers a high proportion of the anxiety many people feel in the dentist's chair. Simply blocking the noise with something you enjoy can make a huge difference.

Breath deeply. Grannum, along with the ADA, is a big proponent of using slow, deep breaths and visualization techniques to overcome fear and anxiety. Close your eyes and focus your mind on a place or people you love.

Communicate. Don't "suffer in silence." Decide on a signal such as raising your hand that will alert your dentist or hygienist that a procedure is uncomfortable or that you need a break. Most people are more relaxed when they feel in control of the process.

No question is too basic for your dentist. You can ask what instruments they are going to use, how long a procedure is going to take, and what it is going to feel like. "Some patients feel more comfortable knowing step, by step, by step, what is going to happen," says Cooper. "People tend to be anxious about what they don't know."

Schedule an appointment for after you have done something relaxing. Cooper recommends that if you have a high stress job, don't come rushing to your appointment after a long day at the office. Instead, schedule an early morning or a weekend appointment.

Eat a light meal before your appointment. It's important to have something in your stomach when you are having dental work done because hunger can increase the body's stress response. People with blood sugar issues need to be particularly mindful so they don't feel lightheaded or even faint. Also, if your treatment requires Novocain, you might not be able to eat for a couple of hours while the numbing effects wear off. However, don't eat a large, heavy meal. It might make you feel nauseous during certain types of procedures.

Request a topical anesthetic. Numbing gels properly applied can make oral injections virtually pain-free.

Take a prophylactic pain-reliever. Some people benefit from taking a dose of ibuprofen either before or after certain procedures. Check with your dentist prior to your appointment.

Hypnosis. If you experience a debilitating level of fear and do not want to resort to pharmaceuticals, studies show hypnosis can be effective for alleviating dental anxiety.

Practice good dental hygiene. Your appointment is guaranteed to be better if you practice good hygiene and go to the dentist for regular cleaning and check up appointments. Brush after every meal and floss daily. Most adults and children should have checkups every six months.

Find a new dentist. Cooper says you should completely trust your dentist. If you don't feel comfortable, you should get a second opinion or find another dentist.

With kids, there are some special considerations:

A child's first visit to the dentist should be fun. Focus on exploring the office and getting to know the dentist and their staff. They can always return for more treatment as necessary, but that initial visit can influence the way they feel about going to the dentist for the rest of their lives.

Don't make kids endure treatment if they are upset or panicked. Occasionally, children will have to have dental treatment under duress because of a real emergency. But generally speaking, forcing a miserable, crying child to have dental work done is going to backfire. A slow, gentle approach, where the child feels in charge, can actually build their confidence and make them feel proud about overcoming their fears.

Model relaxed behavior. As long as you are feeling calm about it, Cooper suggests asking your dentist about bringing your child to watch your dental or hygiene appointment.

If you still can't swallow making an appointment, Grannum points out a new trend in the field: spa dentistry. Pampered patients can choose to have services like an aromatherapy foot massage along with their six-month cleaning or order a special frozen soothing smoothie after their dental work is complete. Don't expect insurance to pick up the manicure tab.

Copyright Yahoo 2012

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  • don e  •  Fort Worth, Texas  •  1 month 19 days ago
    I hate when the dentist asks random, nonsensical questions while you have two hands and two different instruments in your mouth at the same time. I know he's trying to take my mind off of what he's doing, but I want to answer him.
  • Comment  •  3 months ago
    I think more people afraid of the bill then the procedure.
  • Kathryn  •  3 months ago
    I never understood people's fear of the dentist until I met my current boyfriend, whose dentist kept drilling as he was crying out in pain when he was a child. Now he won't even consider going to the dentist. I don't like that he doesn't go, but I can understand why he is so afraid after that kind of trauma. It never should have happened!
    • Hal 3 months ago
      Sorry for him. That was malpractice. I have a friend who goes to a dentist who puts him in a chemical "dream state" of some sort. Works great. Also, floss! It really does work. And, do it quickly, daily. Just in and out between each tooth. The hygienist makes it look too hard and people just don't do anything rather than take so much time.
    • LethalLaugh 3 months ago
      That "dream state" you refer to - You mean "twilight sleep"? Had that when I had my impacted wisdom teeth out (all 4 at once - Wheee!) It's intravenous Valium. Yummy!
    • StarmanMike 3 months ago
      Or request your dentist use nitrous oxide. It is the original pain killer, back in the 1800's when anesthetics were first used. It is relatively short-acting, and your dentist uses it during an inhaler. And it gives you a great high !!! I sometimes buy nitrous oxide in the supermarket as whipped cream. Let it settle for at least 10 minutes, take several deep breaths, exhale completely, and inhale away !!!..
  • Dustin  •  3 months ago
    I rely on the gas, I have a terrible fear of the dentist. The gas works for me.
    • Chris 3 months ago
      Are you saying that you expel gas when necessary to keep the dentist in line?
    • LethalLaugh 3 months ago
      Bwaaaahaaahaaa! Chris, I WISH that worked!
    • Chris 2 3 months ago
      Hysterical. I'm a dentist and that's just too funny. Farting is a great way to loosen up the room. My 14 yr old thinks it's one of the funniest things on the planet. Oh well.
  • IgboNewaki  •  3 months ago
    A xanax the size of a football always works!!
    • Vegaskaryl 3 months ago
      That's what I do! take a xanax or ten before my appt.
    • Kari 3 months ago
      Heard that! I have to take one just for a cleaning!
    • None of your business 3 months ago
      Heck yes it works! I just had a root canal done on Friday and don't remember one thing about the procedure thanks to Xanax
  • tracie  •  Houston, Texas  •  3 months ago
    I have to say this is not helping me. I have to go for two teeth that are hurting me. I am very afraid!!!!! Of the pain and the bill...
    • Hubert B 3 months ago
      yes, but you get it done. Better be painless then having pain.
    • Peggy 3 months ago
      Over the years I have learned that if you relax your muscles, the needle of Novacaine or whatever they used will not hurt. My dentist tries to numb the area where he is going to stick the needle which he comes behind me and doesn't give me a chance to tighten up. It helps.
    • Stan 3 months ago
      " comes behind me" GIGGITY!!!
  • Eva  •  Tampa, Florida  •  3 months ago
    My main reason for hating the dentist is because I know that no matter how much I brush or floss or scrap or whiten, my dentist will always find something wrong.
    • Eva 3 months ago
      *scrape
    • JDM 3 months ago
      Exactly!
    • maverick 3 months ago
      get a new dentist....nuff said.
  • Pam  •  3 months ago
    Used to have a dentist that sang opera while working on your teeth. I think he was singing all the way to the bank for what he charged. That tooth fairy owes me big time. Used to only get a nickle for tooth from fairy dentist got at least $800. Cost me $8,000 for the false teeth.
  • tracie  •  Houston, Texas  •  3 months ago
    I don't want to feel any pain. I Have to say, the bill is what scariest...
  • Lis  •  New Orleans, Louisiana  •  3 months ago
    And Re: "order a special frozen soothing smoothie after their dental work." A. I hope they don't mind mopping up all of the smoothie that dribbles out of your mouth due to the novocaine; and B. If it's a REALLY "special" smoothie (like those special brownies) they need to give it to you beforehand, not afterwards.
  • Robbie  •  3 months ago
    Maybe I need vision care more than dental care, because I was sure the headline read "British fear at the dentist." Hiliarious, but obviously incorrect...
  • k8blujay  •  3 months ago
    I really don't mind going to the dentist... for whatever reason... that high pitched drilll doesn't bother me either... It's not like I'm in the Saw movies... I am just going to get my teeth cleaned and perhaps a cavity filled... and I need to see about getting my daughter into a pediatric dentist, so she can get used to it at a young age... and if she is shows signs of anxiety, I will take her with me to my appointments so she can watch what happens.
  • Brandon  •  Mesa, Arizona  •  3 months ago
    The only thing scary about the dentist is the cost.
  • Evan  •  Cruz Bay, US Virgin Islands  •  3 months ago
    the only occupation that has not improved in 50 years, and to pay more for a crown then knee surgery is a total rip off
  • mes  •  3 months ago
    The only fear I have after seeing the dentist is the dental bill.
  • Lorraine  •  San Mateo, California  •  3 months ago
    I am not affraid of the dentist, it's the drill and the needle I am affraid of.....
  • da real joker  •  Santa Barbara, California  •  3 months ago
    Nitrous please, and turn it up to 10. I'll pay the extra.
  • HeatherS  •  San Jose, California  •  3 months ago
    I am anxious about going to the dentist because of pain, although I dutifully go regularly anyway. I have poor dental health, so no matter what they do, even cleanings are a little uncomfortable due to swollen gums. Not to mention, that pick thing they use? Yeah, that's how they found my first cavity eight years ago. Now I'm afraid of it because of remembered pain. I'm also afraid of them finding more cavities (which is usually painless now) which they have done too many times to count--in the last 8 years, I was only new cavity-free at one cleaning, even though I brush and floss regularly. The shots are slightly painful, even with the topical, and I made the mistake of asking how deep the needle went in several years ago; I shouldn't have asked. The drill always makes me a little uncomfortable--I'm afraid that they'll hit something that wasn't numbed up enough. This fear was only increased at my most recent root canal (my THIRD) wherein I had trouble getting numb despite 5 regular shots and 6 little shots, and I could actually feel a little pain.

    At least I'm not as afraid as I was at my first filling 8 years ago and my first root canal 3 years ago.
  • doc  •  St Louis, Missouri  •  3 months ago
    do your own dental work at home, all you need is a dremel and some paper clips
  • Atown  •  Hanford, California  •  3 months ago
    There's always stress with the dentist, with either the pain or the bill!
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