Dental anxiety and what to expect at a check-up

Feeling nervous about dental visits is common. It can come from a past experience, fear of pain or needles, the sounds in the surgery, or simply not knowing what will happen. Avoiding the dentist can let problems grow, so it helps to find ways to make visits manageable.

Tell the team how you feel

Say that you are anxious, and, if you can, what worries you most. Your dental team can then help you feel more comfortable.

There is no need to feel embarrassed. Dentists are trained in simple ways to help nervous patients, and you can ask them to adapt how they work with you.

• Agree on a signal, such as raising your hand, to pause or stop at any time.
• Ask the dentist to explain each step before it happens.
• Bring headphones and listen to music if the clinic allows it.
• Ask the dental nurse to talk with you or stay close during treatment.
• Try slow, deep breathing and muscle relaxation before and during the visit.

What a check-up often includes

At a check-up the dental team looks inside your mouth and also checks your lips and neck. They look for signs of decay, gum disease and other problems, using a small mirror and a gentle probe. They may ask about:

• any symptoms, such as pain or bleeding
• how you clean your teeth
• your general health and any medicines you take
• your diet, and whether you smoke or drink alcohol

You may need X-rays. You will be told if there are any problems and what the options are. If treatment is suggested, the dentist should explain what it involves, why you need it, the risks and benefits, and the cost.

Not every visit needs treatment on the same day. You can ask questions and take time to understand your options.

If anxiety is severe

Some people need more support, such as longer appointments, help from a specialist service, or sedation. Sedation helps you feel calm and relaxed while you stay awake, and it is not the same as being asleep. Ask the clinic what support is available, and which options might suit you and the treatment you need.

When to see a dentist

• You have not had a check-up for a long time
• You have pain, swelling or bleeding gums and are putting off a visit
• Fear is stopping you from getting care

A first visit can be just a conversation and a gentle look. You can tell the team that is what you would like.

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Educational information. It does not replace advice from your dentist or doctor.