Tag Archives: dental anxiety

Is Sedation Dentistry Necessary For My Child?

My daughter is eight. She is a sweet, cooperative little girl, and generally healthy. We have maintained consistent dental habits, which include flossing and using mouthwash daily. She was recently diagnosed with a cavity at her last dental checkup.

When we returned to the dentist office for the cavity to be filled, she seemed a bit fidgety. It was as if she couldn’t get comfortable, and was nervous. This wasn’t surprising, as this was the first dental procedure she’d undergone. Therefore, I decided to leave the room, thinking my presence was causing her to be additionally worried, as sometimes has happened with her.

After some time had passed, I assumed everything was going smoothly, until I heard her screaming. When I rushed into the exam room, I found her curled into a ball on the table, unable to be consoled by the dentist or his assistant.

The dentist exited the room, to give me an opportunity to calm her down. When I asked the assistant to tell me what happened, she informed me that my daughter had clamped down on the dentist’s hand when he was trying to numb her, biting him, then began flailing and flinging her arms and legs. This also caused her to bite down on the drill, which cracked his tooth.

The dentist returned to check in on my daughter, but mentioned to me that a pediatric dentist may be a better fit.

I am concerned about the trauma this caused her, and what to do going forward. She is now in need of a crown, and I want to be sure this situation does not repeat itself. Should I consider sedation prior to her next procedure? I know very little about it, or its possible side effects, but know that my daughter cannot have another experience like this one.

Any guidance you can provide would be greatly appreciated.

Sincerely,
Janice

Dear Janice,

It is unfortunate that your daughter went through this experience, especially considering she had several positive dental visits prior to this one.

It is good that your dentist suggested you find see a pediatric dentist, especially since she now has further damage, and has experienced such trauma. Perhaps you could schedule a routine checkup for your daughter with a pediatric dentist first. This way, she can learn about the dentist, become familiar with the office, and understanding what goes into a child’s first visit to a dentist.

Once she has a positive experience with the dentist, you could schedule a follow-up appointment for the crown procedure. And, you are correct, sedation dentistry may be the best option for her. But, dental anxiety is best addressed by communicating with your dentist. Perhaps you can privately share about her previous dental experience. This way, the pediatric dentist can help you determine if sedation dentistry is the route you should go, or, if there are other ways to address her nervousness and anxiety.

The right choice will ultimately depend on what types of sedation the dentist offers, as well as what you feel is the best fit for your daughter.

This blog post is brought to you by the office of Dr. Matt Roper, a Gilbert sedation dentist.

How to prepare for a child’s first dental appointment

We have scheduled our 5 year old son for his first dental visit. He is very shy and quite apprehensive to people he isn’t comfortable around. Are there are specific ways we can prepare him so he will not be afraid?

Thank you,
Brooke

Dear Brooke,
It can definitely be stressful to take your child to the dentist for his or her first time. However, there are many things you can do to make the experience a fun and teachable one. The biggest thing to remember is that if you are stressed or anxious, he will feel that. Try not to say things like, “Don’t be afraid,” “It’s not scary,” or “It won’t hurt,” when you discuss the dental appointment. Be sure to remember that any negative dental experiences you have had are your experiences and not necessarily indicative of the type of experience he will have. Talk about the appointment like it is a natural thing for him to do, but show excitement about it being his first appointment, like you would his first haircut. It is a great idea to let him come along with you to one of your appointments, so he can become familiar with the office, the staff, and the routine. If this is not an option, or you are using a new office, call ahead to to find out what you can expect, or visit the office’s website, in order to talk with him about it. Read books about going to the dentist, or watch cartoons. You could also role play at home, first with you playing the dentist role, then switch and let your son be the dentist. But, again, the most important component in this is to build-up the experience as a positive one.

It is also a good idea to try to schedule a morning appointment, so he can be well-rested and have had a good breakfast beforehand. Be sure to arrive to your appointment somewhat early, to allow your son a chance to become used to the office. If, by chance, your office does not allow parents to accompany children to the exam room, you should be aware beforehand to decrease his anxiety about this. However, if you are able to go back, snap a photo of her being a good patient and cooperating.

Many offices give children toothbrushes and other goodies such as balloons or tokens when they are finished. If the dental office does not provide these, it’s a great idea to have a toothbrush and small toy or reward to give him at the end of the appointment. You just want to be sure to reinforce the good behavior.

Also, please remember, if the visit is not as positive as you hoped for, and practiced for, don’t fret. Many children take time to become comfortable to new places and things. It will be good to have already been in the office and provided the experience. Then, try again after a few months. Good luck!

This post is sponsored by the office of Phoenix pediatric dentist, Dr. Hillary Peck.

Afraid of the dentist and have emergency

I’ve been afraid of the dentist for quite some time. I probably haven’t been in about five years. Now, I’ve got quite a toothache and I don’t know what to do about it.  Well, I know go to the dentist, but I get a knot in my stomach like you wouldn’t believe. Is there anything I can take for that?

Muriel H. – Delaware

Muriel,

I’m sorry for the fear you’ve been experiencing. As you’ve probably guessed, avoiding the dentist causes more problems. Anything you take at home is likely to interfere with anything your dentist will want to give you.

There is medication your dentist can give you to help relax you.  IT will make the appointment go much easier for you. I realize that because you haven’t been to the dentist in about five years, that it may mean you don’t have a regular dentist.

If that is the case, you still need to get in quickly before the infection spreads. There are emergency dentists that will see you quite soon, some even the same day. Make sure you go to an emergency dentist that is also equipped to give you some form of sedation as well, so you won’t have to deal with the anxiety as well.

This blog is brought to you by Phoenix Dentists Drs. Kevin and Hilary Peck.

DIY Tooth repair

I’ve been seeing some videos about DIY tooth repair. There is tooth filling material at the drug store.  Is this a legit thing?  I’ve had a toothache and have been putting off going to the dentist because…well, I’m a dental chicken.  I’m wondering if this DIY is the solution I’ve been looking for, but don’t want to waste time on something that doesn’t actually work.

Marvin G. – Alabama

Marvin,

I’m glad you asked this, because it will save you serious trouble down the road.  That tooth filling material you see at the pharmacy is meant to be a temporary stop gap until you get to the dentists–at the most a few days. It’s useful if you lost a filling and are waiting for your appointment or are out of town.

I don’t know which videos you are referring to, but wondered how did they propose you get out the infected and / or material?  That’s an important step that can’t be ignored.   Otherwise, you’re leaving the infection.  It’s like wrapping a bandage on a broken arm.

Don’t feel bad about being a dental chicken. Around 20% of American’s are.  I don’t know if you have a dentist or not, but if you do, ask him or her to use dental sedation during your appointment. It will allow you to get your infection cared for without pain.

If you don’t have a dentist, an emergency dentist will see you, usually the same day, even if you’re not an established patient.  I would make sure they do sedation as well.  It will give you  a much more pleasant  dental experience and will help you with the dental anxiety you’ve been experiencing.

This blog is brought to you by Phoenix Dentist Dr. Kevin Peck.