FitSugar

Dental Anxiety: You're Not Alone

DearSugar — Thu, 27 Sep 2007 16:00:00 PDT

Who likes going to the dentist? I don't like going whatsoever, and I even asked my dentist if she likes to go and she admitted that it's not always fun, but it is necessary. So we force ourselves to go, but many of us may not like it one bit.

Some people on the other hand have such severe fears and anxieties about going to the dentist, that they won't even go. Here are some common reasons people won't go to the dentist:

Fear of pain.

Fear of needles.
Fear of the Novocaine and going numb.
Fear of NOT going numb - what if the Novocaine doesn't work?
They're worried about what may or may not happen - fear of the unknown.
Fear of the drill and things near their mouth and brain.
The scraping and drilling sound.
Bad past experiences.
They're worried about receiving bad news.
They're embarrassed or ashamed of their teeth and worried the dentist will make fun of them.
Fear of gagging, choking, or throwing up.
Fear of panicking or crying.
The cost. Even with dental insurance, the bill can be excruciatingly high.

If these sound familiar, you're not alone. Many people suffer from dental phobia or dental anxiety so much that they refuse to step foot in an office. This can be detrimental to a person's pearly whites. Want to know how to get over your fears? Then

If you are paralyzed by the mere thought of going to the dentist, there are a number of things you can do.

Identify what your specific fears are and try not to dwell on them. Then you and your dentist can figure out ways to deal with them.
Find a caring and compassionate dentist that makes you feel comfortable. Explain all your fears and map out what your perfect dental visit would be like. Get recommendations from friends or co-workers for dentists they like.
Some dentists may recommend that you take anti-anxiety medicine (like Xanax) the night and or a few hours before your visit. It will help you to feel calm and relaxed.
Your dentist may also recommend Nitrous Oxide. It's a gas you inhale that puts you in a state of ultimate relaxation and contentment. Just like with the anti-anxiety meds, this method won't do anything for pain, so if you need to be drilled, you'll still need to get a shot of Novocaine, but you may feel less anxious about it.
Another option is IV Sedation. You basically get anti-anxiety drugs administered into the bloodstream. You'll remain conscious and be able to understand and respond to requests from your dentist, but you may not remember much of what happened while you were in the chair. Time will feel like it passes quickly, almost like you were asleep.
If you are literally crippled by the anxiety, you may be a candidate for General Anesthesia.

Being fearful of dental visits is not at all uncommon, but at some point you will need to face your fears. You can't go through your life not seeing a dentist, and the longer you put it off, the more problems you can have. I hope these ideas help.

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During Childbirth, Do You Plan on Getting an Epidural?

FitSugar — Sun, 13 May 2007 02:30:00 PDT

No one needs to tell you that giving birth is a painful experience - we've all heard our fair share of horror stories. Thanks to modern science, an epidural is available if a woman doesn't want to or can't deal with the pain. It's basically a shot given in your spine that makes you have a loss of sensation and pain from your waist down.

Some women see giving birth as a natural experience, and want to be completely aware and in tune with what their body is feeling, so they wouldn't dream of getting drugs. Plus some women may argue that it's bad for the baby, and makes labor longer for everyone involved.

Other women go for the drugs because the pain of labor is way too unbearable not to. They'd equate it to getting a cavity drilled - would you go without Novocaine?

So I want to know...

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How Does Novocaine Work?

FitSugar — Fri, 11 May 2007 07:30:00 PDT

When I have a cavity filled all I can say is praise to the Novocaine. When my dad was little, his dentist didn't use local anesthetics, and my poor dad had to sit in the chair knowing he was in for a whole lot of pain. My jaw hurts just thinking about it.

I just learned that prior to the invention of Novocaine, cocaine was used as a local anesthetic. Cocaine constricts blood cells, which reduces bleeding, but as we all know it's also highly addictive.

In the early 1900's scientists created a synthetic version of cocaine, but without the nasty side effects, and christened it Procaine. We know it by its trade name Novocaine, and I have no idea why my dad's dentist didn't use it since it was definitely available to the masses when he was a boy. Since its development, stronger local anesthetics have come along like Lidocaine, Septacaine, and Mepivocaine (most dentists still call the shot "Novocaine" though, so ask what they specifically use if you're interested).

These injectable local anesthetics prevent pain in a specific area by blocking the nerves that sense or transmit pain, so the area feels numb for up to 3-4 hours.

All I can say is that even though the shot stinks and can really pinch your gum (and make your mouth really sore for days after), it's still way better than how much it would hurt with NO shot at all.

Fit's Tip: Ask your dentist to apply a topical anesthesia to your gums to numb the area before the Novocaine shot. It makes getting a cavity filled just a little bit easier to bare.

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