Pain-Free Dentistry -YOU'RE in Control!

Nervous about going to the dentist? Here's some good news - modern dentistry can be pain-free! But there are some steps you must take to ensure that you and your dentist are on the same page regarding pain control. By working together, you and your dentist can choose from a wide range of anxiety- and pain-relieving methods and medications that can eliminate discomfort.

First, it is vital that you discuss with your dentist his views on pain control. You should not be expected to endure any pain whatsoever during your dental visit. If the dentist says anything different, that's your signal to call another dentist.

During this initial meeting, the dentist should describe the procedure in detail for you, so you understand what is involved. Your options for anxiety and pain control should be presented to you; don't be afraid to ask any questions you might have. For instance, does he use the smallest needle possible to inject the local anesthetic? What does he do if you feel discomfort during the procedure? What specific methods, devices and medications does he recommend to make you feel more comfortable during the procedure? Also, trust your perception. Does he seem to be rushing you in any way? Do you get the sense that he will go the extra mile for you to make sure your experience is pain-free? Or does he appear to have an "I'm-the-doctor-and-I-know-what's-good-for-you" attitude?

What to Expect Once You're in the Chair

When you arrive for the procedure, the dentist should dry the area in your mouth where the local anesthetic is to be injected, and then should apply a topical anesthetic - or numbing gel - to the prepared area. He should wait a few minutes for the mouth tissue to become numb on the surface. Then, the dentist should initially introduce a small amount of anesthetic, wait for numbing to take effect, and then very slowly inject the rest of the anesthetic. Using this method takes more time, but it makes the injection completely comfortable.

Many dentists now use an electronic injection device called "The Wand," a computer-controlled unit that automatically "senses" the precise pressure and flow rate needed to administer the anesthetic. In a survey, 82 percent of patients felt no pain from a Wand injection.

Once it's injected, the local anesthetic will block the nerves that transmit pain. This area of your mouth will feel numb, and your lip might feel fat.

Your dentist should gently test the area before he begins the procedure to make sure the tissue is completely numb. If you feel any discomfort whatsoever during this test, tell the dentist. He should then give you more anesthetic.

A Little Body Language