Dr Hardeep Bhatta & Dr Allen Friesen
Suite 205 - 1465 Salisbury Ave
Port Coquitlam, BC V3B6J3
(604) 941-9422

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By Smiling Creek Dental
September 10, 2014
Category: Dental Procedures
FAQsAboutCalmingYourFearsWithOralSedationDentistry

What is oral sedation dentistry? If you become frightened and anxious when facing a dental appointment or procedure, sedatives (also called “anxiolytics” meaning they dissolve anxiety), can completely transform the experience. Oral sedatives (taken by mouth) allow you to relax your mind and body so that you feel comfortable while in the dental chair.

How does anxiety affect my pain response? When you are afraid, your pain threshold is reduced. You experience a rush of adrenalin and you tense your muscles. As a result you end up in a state of heightened sensitivity. With sedation this sensitivity to pain vanishes along with your fear and anxiety.

What are some of the oral sedatives that my dentist may use? Most of the medications used in oral sedation dentistry belong to a class of medications called benzodiazepines, tried and tested over decades to be safe and effective. They are used in the treatment of anxiety, insomnia, and agitation. They include Valium®, Halcion®, Ativan®, and Versed®.

I'd just like to forget the experience after it is over. Can oral sedation help? Some of the medications prescribed as oral sedatives have amnesic properties (“a” – without; “mnesia” – memory). This means you will have little memory of the time in the dental chair when your procedure is finished.

What does my dentist need to know in order to prescribe the right oral sedation? We need a thorough medical and dental history, including all medical conditions you may have, and all medications you are taking — both prescription and over-the-counter (including allergies, alternative medications and even herbal supplements). We will also ask you whether you eat certain foods that could interfere with a sedative's effects.

How are the oral sedatives administered? Oral medications are either placed under the tongue (sub-lingual), and allowed to dissolve and then swallowed, or they may be swallowed whole. They are safe, effective, and fast acting. After the sedation takes effect, it will be easier to experience injections of local anesthesia if needed to numb your gums for the dental procedure.

What do I need to do before and after my appointment? Follow all directions we give you about restricting food and drink before your appointment. Until the medication wears off you may not be able to drive, operate heavy machinery or work so be sure to make arrangements to take time off and to have someone drive you to and from the appointment.

Contact us today to schedule an appointment to talk about any fears you may have about dental treatments. Using oral sedation, we can make sure that you have a relaxing experience. Oral sedation allows you to relax both your mind and body, and focus on feeling peaceful rather than anxious. You can learn more about oral sedation dentistry in the Dear Doctor magazine article “Oral Sedation Dentistry.”

By Smiling Creek Dental
February 16, 2012
Category: Oral Health
HowtoGetOverDentalPhobia

If you fear a visit to the dentist, you are not alone. Studies have shown that up to 75% of people surveyed have some fear of dental visits, and 10 to 15% fear the dentist so much that they avoid any dental treatment. This can have serious repercussions, leading to toothaches, infections, and loss of teeth. Poor oral health can even negatively affect your general state of health.

Here's the good news. Even people who are the most afraid of the dentist can learn to reduce their fear and feel calm and safe during a dental visit.

Dental fears develop when people have bad dental experiences. For many, the problem is a sense of loss of control. Sometimes, fears are based on stories people have heard or even movies they have seen.

The feeling of being afraid reinforces your fear. If you experience the rapid heartbeat, sweaty palms, tensed muscles, and other symptoms of fear while in the dentist chair, you are likely to remember these unpleasant feelings afterward and become even more fearful. In order to reverse this process, you need to begin to associate dental visits with good experiences and a sense of control. Here's how we can help you do this:

  • Know that you are not alone and we are here to help you.
  • Talk to us about your fears. We are sure to listen and not be judgmental. If you don't talk about it, you can't get over it.
  • We will start by doing things that cause only mild or no anxiety. We want each visit to be a good experience, so you are able to leave our office with a feeling that it was okay, and you can do it again.
  • Our goal is for you to overcome your fear. We will make this a priority and that priority is as important as “fixing your teeth.” We will be happy to talk about the time and fees associated with your treatment so that you can overcome your fear and gain a sense of control of the situation.
  • It took a while for your fears to develop, so you should realize that it will also take a while to get over them. We will spend as much time as you need to get over your fears and will not rush you into doing anything for which you are not ready.

Contact us today to schedule an appointment to discuss your questions about any fears you may have. You can also learn more by reading the Dear Doctor magazine article “Overcoming Dental Fear & Anxiety.”

By Smiling Creek Dental
December 04, 2011
Category: Oral Health
EndYourFearsandRelaxwithOralSedationDentistry

Studies have shown that as many as 75 out of every 100 people fear dental visits; and for 10 to 15 of them, the fear is so great that they never get treatment — leading to serious dental problems and worse. Untreated disease in your teeth and gums can negatively affect the health of your entire body.

How can you conquer your fears so you can get the treatment you need? The answer includes (a) working with us to overcome your fears and have a positive experience while undergoing dental treatment, and (b) using oral sedation or anti-anxiety medication to help you quell your fears and relax.

Overcoming Your Fears

People develop fear of the dentist when they have a bad dental experience themselves, or sometimes when they hear of a bad experience someone else has had. The more you are afraid, the more you feel the symptoms of fear, and the more you connect those symptoms with the experience. You need to stop this negative memory sequence and replace the feelings of fear and loss of control with memories of good experiences and feelings of being in control.

It helps to know that you are not alone in your fears and that you can do something positive about them. First, make an appointment to discuss your fears with us, your dental professionals. Start with small procedures that cause only mild anxiety, and give yourself adequate time to get over your fears.

Using Oral Sedation

You have already gradually reduced your fear through your discussions and previous appointments. When you are ready to go to the next step, consider using oral sedatives or “anxiolytics” (meaning that they dissolve anxiety) to help you feel relaxed and comfortable.

Oral sedation — so called because you take it by mouth — allows you to let your guard down and focus on feeling peaceful, yet you remain awake and in control. The medication is either placed under your tongue and dissolved there (sublingual) or swallowed whole. Since it is taken by mouth, it does not require an injection, so it is easily taken by people who are afraid of injections.

The oral sedative and anxiolytic medications dentists use have been subjected to rigorous research and testing and have a long safety record after decades of use.

By using this two-step process you can reduce your fears and begin to get the care you need. And we, your dental professionals, are able to work more efficiently because we can focus on the work at hand, knowing that you are comfortable and relaxed.

Contact us today to schedule an appointment to talk about any fears you may have. You can also learn more by reading the Dear Doctor magazine articles “Overcoming Dental Fear & Anxiety” and “Oral Sedation Dentistry.”

By Smiling Creek Dental
October 09, 2011
Category: Dental Procedures

Three quarters of people surveyed have admitted to having some fear about going to the dentist. About 10% to 15% are so afraid that they never go. Because they put off checkups and treatment they end up with toothaches, infections, and even lost teeth.

You should know that even those who are most afraid of the dentist can learn to reduce their fear and have dental treatment in comfort.

How does fear of the dentist get started?
Fear is learned behavior. People may learn it from stories they have heard from their parents or others, or they may learn it first hand by having a bad dental experience. Once the fear is planted, they avoid going to the dentist, so there is no way for them to learn that a visit can be a positive experience.

If you are among those who fear going to the dentist, the fearful feelings you have can be enough to reinforce themselves. Sweaty palms, rapid heartbeat, and a queasy stomach are not pleasant, and if you experience such feelings they may be your main memories after an appointment, even if the visit was not frightening in itself.

Dental fear can be a subconscious automatic response. This means that you can't control it and make it go away. But there are things you can do to reduce your fear and feel comfortable during your appointment.

Move slowly and get help to conquer your fears.
You need to have new, positive experiences to counteract the bad experiences you had in the past. Realize that you are not alone, many people share this fear. Then talk about your fears with our office. We will start by doing things that cause only mild or no anxiety. You want each visit to be a good experience, so you are able to leave our office with a feeling that this was okay, and you can do it again. It may take a while to train yourself to get over your fears, but we have helped many people accomplish this — and you can, too.

Contact us today to schedule an appointment to discuss your questions about any fears you may have. You can also learn more by reading the Dear Doctor magazine article “Overcoming Dental Fear & Anxiety.”

When it comes to patient comfort, one of the most important developments of the 21st century has been sedation dentistry, which enables you to relax in both mind and body allowing you to focus on feeling peaceful rather than anxious. And the prescription medications we use are some of the safest on the “therapeutic index” (the scale pharmacists and health professionals use to measure the safety of medications.) However, it is critical that we are aware of any medications you are already taking and your medical health and history, so let us know all about you so that we can avoid adverse (negative) reactions. Please note that we will take a full history to gain this information prior to any treatment or sedation — our utmost concern is your safety. During this time, it is vital that you are honest and feel comfortable sharing your responses to our questions. It's also our way of getting to know you and the first stage in relieving your anxiety. We will need to know all about:

  • All medical conditions for which you are currently being treated.
  • All prescription medications you are taking.
  • Over-the-counter (OTC) medications, remedies, or vitamins and/or supplements you are taking. This even includes aspirin, St. John's Wort, and Kava Kava. (Why? If taken daily for good heart health, aspirin thins your blood and thus may interfere with blood coagulation. And St. John's Wort and Kava Kava may be beneficial in helping relieve depression, but they can negatively impact how oral sedation medications work.)
  • Foods and drinks you consume, such as alcohol and even grapefruit (juice or the fruit), can negatively impact how your body responds to both your treatment and sedation medications.
  • And lastly, we need to know if you are a tobacco user — especially if you are a smoker. In addition to increasing your risks for oral and other cancers, tobacco can negatively influence the effectiveness of sedation medications.

To learn more about this topic, read the article “Oral Sedation Dentistry.” Or you can contact us today to discuss your questions or to schedule an appointment.

By Smiling Creek Dental
May 15, 2011
Category: Dental Procedures

For some people, going to the dentist is just like any other routine healthcare visit that they manage without any qualms. For others, the experience can cause some trepidation or even anxiety. In fact, some people even contemplate canceling appointments and neglecting their oral healthcare. If the latter better describes how you or someone you know feels about going to the dentist — even for a routine exam and cleaning — then we have great news for you! We offer our patients oral sedation (sedation dentistry) that allows you to relax both your mind and body so that you can focus on feeling peaceful and at ease rather than anxious.

What is oral sedation?

Often referred to as “comfortable” or “relaxation” dentistry, sedation dentistry offers an approach to dentistry that includes gentle management of your anxiety by using an anti-anxiety prescription medication that simply dissolves away your anxiety. The medications are administered by mouth (orally) to help transition you from feeling nervous to a more comfortable state of being.

Is it easy to take?

Another reason oral sedation is so popular is because it does not require an injection (shot), so, if you are afraid of needles, you simply do not need to worry. Typically, a pill is first placed under your tongue (sub-lingually) where it dissolves and penetrates the skin going straight into your system and then the rest is simply swallowed. This method and the quick-acting sedation medication make relaxation both effective and safe.

Is it safe?

Pharmacists and health professionals measure medications' effectiveness by measuring their “therapeutic index.” The larger the number is on this scale, the safer the drug. The oral sedation medications we use have the highest numbers possible on this scale and thus they are the least likely to cause any adverse (negative) reactions.

Want to learn more?

Contact us today to discuss your questions or to schedule an appointment. You can also learn more by reading the article “Oral Sedation Dentistry.”