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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.

New Dental Care Technology And Your Teeth

The world of modern dentistry is embracing exciting advances in technology for increased patient comfort, care, and convenience. Here are some ways dentistry is taking oral care into the new millennium.

• Air Abrasion: High-speed delivery of "blasting particles" to a decayed tooth can replace the drill in many cases. The fine stream of air and aluminum oxide provides dentists with a more precise tool for removing decay quickly, without damaging surrounding sections of the tooth. This exciting dental treatment is also a plus for patients because it normally doesn't require any local anesthesia. While air abrasion may not be suitable for large areas of decay or the removal of silver fillings, it can be used to repair tiny cracks, remove stains, and smooth the tooth surface so that bonding materials adhere to the tooth.
• Intra-oral Cameras: A tiny camera inserted into the patient's mouth allows the dentist to show the patient the exact nature of the problem. The image is enlarged and sent to a monitor that the patient and doctor view together. When patients can see the specific area in need of treatment, they're more likely to understand and accept the dentist's recommendation.
• Lasers: Research continues at a fast pace in laser dentistry. Lasers have been used for years in a limited capacity, but their role in oral surgery is likely to increase.
• Digitized X-rays: Computerized technology will allow a small sensor inside the patient's mouth to take the X-ray and immediately display it on a computer screen, eliminating film and darkroom processing, and reducing the radiation exposure for the patient.
• Computers: There is a growing recognition of the role that computers can play in dental care. In the future, patient records may be kept on computer disks, including visual images captured on intraoral cameras. A computerized workstation beside the patient's chair will give the dentist the ability to view the patient's history from disk. The dentist might also use a voice-recognition system to ask the computer to assist in finding that data, or generate a "before and after" image so the patient can preview the result of dental treatment before it is done.
• CD-ROM: Patient education will be a snap with information stored on CD-ROM. Procedures can be explained to patients in advance and post-operative instructions can be provided for them to take home.

With a new hi-tech face on modern dentistry, patients can look forward to a new face in dentistry and greater comfort with more byte!"

By Brian J. Gray, DDS, MAGD, FICO

+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.