


Many patients suffer some degree of stress when they have to visit the dentist but, for a minority of people, the level of anxiety they experience is a real deterrent to their seeking treatment. Such people typically report the classic symptoms of panic attacks when visiting the surgery – for example sweating and nausea. It is important to appreciate that these reactions are involuntary, rather than simply being a case of undue squeamishness, and patients who are affected in this way cannot simply be expected to "pull themselves together" - it is first necessary to address the underlying anxiety before treatment can begin. The good news is that, with today’s advanced dental sedation techniques, almost all such patients can be successfully treated and enjoy the benefits of good oral health and a great smile!
Sedation is quite distinct from general anaesthesia. Many older patients may remember the formerly widespread use of the latter in general practice for extractions (usually involving the administration of nitrous oxide or "laughing gas"). Clinical guidance has since confined the use of general anaesthesia to the hospital environment. Consequently the emphasis in general practice has more recently been on the provision of sedation where, by contrast, the patient remains conscious and able to communicate but is in a state of deep relaxation and extreme drowsiness. The procedure is quick and recovery is also relatively rapid. There are also far fewer chances of complications arising than is the case with general anaesthesia.
Dr Hema Mistry is a specialist in the provision of sedation to nervous patients and holds a post-graduate diploma in the subject. She will be pleased to discuss with you the options available. In the meanwhile, you can find answers to some of the more frequent questions we are asked about sedation below.