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Dental FEAR NUMBER 13 – Can’t Get Numb

Here’s How To Overcome 
Dental Fear # 13: Can’t Get Numb

We do see some patients that  take a little longer to anaesthetize, to numb up before we start with their dental treatment. 

With these patients they usually have a history and for these patients we book off extra time to be able to do that but it is very, very rare. 

The main reason is that people won’t number up due to localised effects to the risk of infection present which first needs to be treated with some antibiotics before we can numb the patient up to have some treatment. 

Maybe with some student dentists or some newly qualified dentists poor technique maybe a factor as well as anatomical variation in patients. 

For the majority of patients that’s not really a problem but usually these patients have a bit of a history of fear of anaesthesia. 

In this practice we use the “Quick Sleeper” which is a local acting anaesthetic that can numb even the most infected of teeth, and because it is locally acting it doesn’t need to take into account any anatomical variation which can be a particular problem on occasion for some patients when they are having their lower teeth numbed.

Red hair, anxiety and certain syndromes can play a part, particularly anxiety.  Patients who are numb and reporting that they are not, there is a difference in that they don’t feel any pain when they have the treatment carried out, but they can have a tooth removed and may feel a bit of pressure, a bit of pushing.

Unless they have explained to the patient, particularly the anxious ones, that they will experience the sensation of pressure, pushing, that nothing should feel sharp or painful at any time. 

These patients are numb but may report that it is painful which is really down to their anxiety.  What we need to learn to do is to find the different methods and most commonly some form of sedation to be able to treat these patients.

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