Taming The Fear; a dentists tale....

As my campaign to stave off a mid life crisis gathers pace, I set a goal of  running a 10K as fast as I did 20 years ago. A few months in and my enthusiasm for training resulted in my left knee suddenly swelling to something approximating double its normal size overnight.  I could barely walk, was in severe pain,  and was generally miserable. ( It was even  alleged that I had "man flu of the knee" by some of my less sympathetic friends! )

This sudden and unexpected problem made me really quite miserable and to be honest I found the voyage into the unknown world of knee pain quite stressful too.

What happened next is the interesting bit, I had a couple of visits with the lovely team at Physis in Edinburgh where

• They listened in detail to what was wrong with me,
• Listened to what it was  that was worrying me about my injury 
• And then took time to explain what was actually happening ( as opposed to what I thought was happening)
• Finally when I understood the real nature of the problem we  got down to fixing it

Interestingly though I felt much better as soon as I knew the facts of the situation.

The thing that struck me were the similarities of what I experienced with someone who suffers from dental fear.  I had an internal dialogue ongoing  throughout the whole episode. I had a FEAR that something was seriously wrong with me and a  fear of something bad happening in the future.  My wife insists that being a man ( and thus unable to tolerate pain or physical discomfort) made me contemplate the possibility that

• my knee was  permanently damages and would never function again properly,
• my cartilage was ruptured/ torn /displaced,
• my ligaments had torn / broken or otherwise failed
• the next time I run this will happen again

Of course all of these thoughts were based on no facts just my observations of the situation as well as my fear of the UNKNOWN.  The truth is  I felt bad, and in the absence of an appropriately trained person to help me, my though process ran riot and created a host of unpleasant futures for me and my knee ( which is now  by the way is healing very nicely thank you )

So what can we learn from this?
Being afraid  / stressed is a natural part of any problem that relates to our health
Given the chance our subconscious  will run riot with a host of grim scenarios
The problem may take some effort on our part but can be easier to resolve than we realised
With professional help and understanding the road to recovery can start much faster than you think

I know for one that I am hugely grateful for the time that was spent with me allaying my fears and allowing me to achive the right frame of mind to get better.

Now after all this I still don't know a huge amount about knees, so if that is where your trouble lies please seek out a good physiotherapist!  Equally when it comes to dental fear why not take the most difficult step which is always the first one.  The step can be small and need not even involve speaking to a dentist if you don't want to,  it can be as simple as  watching a video, reading the experiences of other nervous patients, or by  taking the 7 day beat your fear course

Equally why not  get in touch with someone who can help you to tame your dental fear.  You can begin by, contacting a sympathetic dentist by telephone,  or just dropping us an e-mail at the practice.  Whether you stay locally or not we'd love to hear from you.

Beat Your Fear Course - The Verdict

Its the start of another new year. I guess like me you probably begin again with resolutions about being a better human being, taking more exercise, eating more healthily etc etc Which one will you make stick this year? For me last year it was to return to regular exercise. I was certainly not perfect but finished 2011 a lot fitter than I started it.  So to this year......what resolution will you make a reality?

At the end of last year I asked everyone who has taken our 7 Day Beat Your Fear e-course for some feedback on it. I was quite humbled and overwhelmed by the number of people who took the time to reply sometimes in great detail about their experiences after taking the course.

What did I discover?   Well nearly 75% of all people who took the course said it made it easier or made them more likely to book a dental appointment.  Many people said that it really helped them to get specific about what their dental fears were and in doing so they developed an even deeper understanding of their problem.

There were suggestions that we should record some videos and make those a part of the course, this is a work in progress ( see previous blog postings ) and there were a few requests for direct 1 to 1 e-mail or telephone support for people taking the course. We hope to introduce these things  during this year.  For people local to us there were also request for an open night which is something that we try to do at least once every year. Watch this space!

There were some request for contact and support that extended beyond the original 7 day course too, we generally don't want to make a nuisance of ourselves in your inbox but have taken this on board.

I am really fortunate to work with a great team at Craigentinny Dental Care who constantly innovate and generate new ideas. One of our goals for this year is to continue to improve and develop the care we provide for nervous and phobic patients and  the e-course too.  The feedback and questionnaire replies are all fuel toour thought process and  will play a big part in this so once again thanks if you took the time to reply.

Finally I would like to record my gratitude to the lovely people behind DentalFearCentral who were responsible for a significant number of people discovering the e-course that otherwise would not.

If we can help you to beat your dental fear in any way do not hesitate to get in touch via the main web site for our dental practice in Edinburgh.

Here is a happy, healthy and stress free 2012.

Too Scared To Even Visit The Dentist

We have just uploaded a new video to our youtube channel. It describes how you can go about easing your wab back into dental care using a 3 step process that we have evolved over time at our dental practice in edinburgh.

The video is around 3 minutes long and will let you know how we can help you even if you don't feel up to a visit to see us in person yet. Here it is .......



or if you cant see it in your browser click here.

if you would like to get in touch for a chat after reading this just e-mail us from our web site or give our friendly reception team a call on 0131 669 2114.

Have a great week

New Study Shows - Dental Fear Can Be Beaten Without Sedation

It has been my long held belief that for many, if not most patients suffering from Dental Phobia or Dental Fear that treatment under sedation should be kept in reserve as the solution of last resort. My view is based on our experiences helping people with dental fear and phobia  in our dental practice in Edinburgh over the last 20 years. The concern I have with sedation is simply that when you are sedated you will remember nothing of the process. Now on the  face of it sounds good, however the downside is that your subconscious never has the opportunity to learn from the experience so you remain dependent on sedation to have treatment carried out. If you then ever are in a situation where you require dental care and sedation is not available then you will have to face your fears with no priorpreparation, which is not in my view a great plan.

A study published in this months British Dental Journal has provided me with some evidence that we are thinking along the right lines in this regard.  The study  looked at a group of patients who underwent  Cognitive Behavioural Therapy   (CBT) to help with dental phobia around 10 years ago. The results were fascinating, of the patients who underwent the CBT  95.2% were able to undergo dental treatment without sedation after treatment with CBT. What was even more amazing to me is that after 10 years 100% of these patients continued to be able to receive dental care without sedation.

While one would hesitate to call this a "cure" for dental fear, this study certainly suggests that it comes very close.   To return to my original point interestingly less than 5%  of all patients needed sedation after receiving some professional help with their dental anxiety. 

Many people are resistant to theidea of any knd of "therapy" in the UK however this is a concept that is becoming out dated. Just as logging on to an online forum to share experiences with others in a similar situation can help,  CBT should be seen as just one of the many tools that you can be used to help overcome your dental fears. 

Let me know what you think?

Have a great week

What Happens At My First Dental Fear Visit

Over the last few weeks I  have been chatting to a lot of  my patients at our dental practice in Edinburgh about,  the "hurdles" that they had to overcome in beating their dental fear.  There are clearly a number of road blocks to be passed and it is interesting that many people tell me that overcoming the first roadblock  of simply making contact is often  the hardest part. However the next major hurdle can be the first visit to the practice so here is a little video where I chat about a typical new patient consultation.

This video comes with Dental Fear "U" rating......suitable for all! there are no dentists or team members in dental outfits and no dental equipment shown. Just me talking to myself and feeling a bit self conscious in our hallway!   Just click the image below to see it on You Tube

Hope & Help With Dental Injection Fear

Reports hit the press this week reporting on some research that is being done on dental anaesthetics to make them more comfortable.  At present some of the more commonly used anaesthetics are acidic, which can mean at point of first contact you can feel a little discomfort. The acidity is caused by some of the preservatives used to keep anaesthetic effective while it is waiting to be used.

The new development involves a special cartridge that will mix 2 parts of the anaesthetic together just before use thus doing away with the need for a preservative. Sadly researchers think it will be a few years before this makes its way out of the laboratory and into our hands in practice.

In the mean time here are the things that we already know can help to make injection pain a thing of the past.

1. Using lots of surface anaesthetic gel…..my favourite is bubble gum flavour!

2. Warming the anaesthetic to body temperature – makes for a more comfortable injection

3. Injecting very very slowly… this way the anaesthetic soaks in- believe me the first time someone gives you a really slow injection you will know the difference immediately.

4. Using techniques that allow us to avoid the most sensitive areas- there are many ways of numbing a tooth up so if you are someone who normally feels it a lot, tell your dentist and they can try an alternative approach.

Finally we know that in a heightened state of anxiety we often experience  pain  vividly more than we do when we are relaxed...... so a great self help tool is to start working on self relaxation techniques well before your visit. This way when you are  with the dentist you can use some of these techniques to reduce and control your anxiety levels.   If you need any suggestions or ideas just get in touch.

Dental Fear Open Night, Edinburgh

Just a final quick invitation to our Dental Fear Open Night

Beating dental fear is all about taking the first step and we are committed to helping as many people as possible do just that. So if you or someone you caer about suffers from dental fear why not join us  tomorrow evening   from 7:00pm
Enjoy a glass of wine or a soft drink and have an informal chat with one of our team. We are happy to talk teeth or not if you would prefer. No one here will find your fears unusual or funny.  On all matters dental you are welcome to speak to our dentists or one of our experienced nurses if you would prefer.

More information on  http://www.craigentinny.co.uk/Open