I’m Terrified of the Dentist – What Are My Options?

The good news? You have options! Modern dentistry has evolved to provide comfortable, pain-free, and anxiety-free experiences.

If the mere thought of sitting in a dentist’s chair makes your heart race, you’re not alone. Dental anxiety is a real and common issue that affects millions of people worldwide. Whether your fear stems from a past bad experience, a fear of pain, or just general uneasiness, avoiding the dentist can lead to serious oral health problems.

Ready to take the first step? Contact us today to discuss your sedation options and schedule a consultation. Your smile—and your peace of mind—are worth it!

Is Dental Anxiety Normal
I want to thank everyone at the Dental Anesthesia Center for taking care of me yesterday—Meaghan helped me get the forms filled out correctly and in on time, Daisy for guiding me in and getting me out safely, Dr. Hoffman for taking care of my teeth and dealing with my really terrible gag reflex, and EVERYONE who helps make this happen. I don't know all of your names, but I do know that it takes all of you working together to make my dental care possible and have good results.

I'm always nervous when I first arrive, even though every procedure has had a good outcome. I've never had any pain or excessive bleeding as a result. The one thing I realized yesterday is that all of you are warm, friendly, positive, you have what is called a good vibe, which helps me a great deal.
Response from the owner:Thank you for your kind words and for taking the time to share your experience. We’re so glad our team could help you feel comfortable and supported throughout your visit. Providing a safe, positive environment is very important to us, and your feedback means a great deal. We truly appreciate your trust in our care!
Dr. Thoms and his entire staff at The Dental Anesthesia Center have been absolutely wonderful!! They're all so kind and knowledgeable. I would give them 10 stars if I could!!!
Response from the owner:Thank you so much for your kind words! We truly appreciate you taking the time to share your experience. It means a lot to hear this feedback.
Dr Mike Hoffman is the best dentist I’ve ever been to. His whole practice focuses on the patient’s needs. He is the consumate professional with expertise across the dental spectrum and in anesthesia. I highly recommend him and his practice.
Response from the owner:Thank you for your thoughtful review and recommendation! We’re grateful for your kind words and are proud to provide patient-centered care with a focus on comfort and safety.
Yes, my grandson has nonverbal autism and they took very good care of him.. He had to have some extra extractions which I was concerned about, but everything went very well. Very happy and I thank you all for all the work you did.
Response from the owner:Thank you for your kind words. We’re so glad to hear you had a positive experience and that everything went smoothly. We truly appreciate your trust in us.
I took my son to an appointment today with Dr. Hoffman. We had a great experience from the time we arrived until we departed. The receptionist was very friendly and helpful. The dental assistants were very helpful and polite with my son. The doctor is very kind and patient. They explain everything as we went through the process. We were aware of the cost from the beginning to the end and we're allowed to make decisions about how to handle my child's care and not shocked with additional charges after the fact. My child does not resist going to this office. Great experience.
Response from the owner:Thank you for your kind words! We’re so glad to hear your experience was positive from start to finish. Our team works hard to create a comfortable, transparent, and supportive environment for every patient and family. We truly appreciate you taking the time to share your feedback!

Understanding Dental Anxiety: Why Are You Afraid?

Dental fear can come from various sources, including:

  • Past traumatic experiences
  • Fear of pain or needles
  • Loss of control in the dental chair
  • Embarrassment about the state of your teeth
  • Sensitivity to sounds, smells, or sensations in a dental setting

Recognizing the root cause of your fear is the first step in managing it effectively.

Options for Managing Dental Anxiety

1. Find a Dentist Who Specializes in Anxiety & Sedation Dentistry

Not all dentists approach fearful patients with the same level of care and understanding. Choosing a sedation or sleep dentistry specialist—like those at The Dental Anesthesia Center—ensures you receive compassionate, customized care tailored to your comfort level.

Dental Anxiety Dentist

2. Sedation Dentistry: Relax Through Your Visit

Sedation dentistry is one of the most effective ways to manage fear and anxiety. Various levels of sedation are available depending on your needs:

  • Nitrous Oxide (Laughing Gas): A mild sedative that helps you relax but wears off quickly.
  • Oral Sedation: A prescription pill taken before your appointment to induce a state of deep relaxation.
  • IV Sedation: Administered through an IV for a deeper level of relaxation while still being responsive.
  • General Anesthesia: You’re completely asleep for the procedure, ideal for extreme anxiety or special needs patients.

3. Communicate with Your Dentist

Discussing your fears with your dentist can help them tailor their approach to make you feel safe and comfortable. Let them know:

  • If you need breaks during treatment.
  • If certain sounds, tools, or sensations trigger anxiety.
  • If you’d like to use a signal (like raising your hand) to pause treatment.

4. Bring a Support System

Having a friend or family member accompany you can provide reassurance and reduce anxiety.

5. Use Distraction Techniques

Many dentists offer headphones, TV, or calming music during procedures. Bringing your own playlist or audiobook can help distract you from the experience.

6. Practice Relaxation Techniques

Deep breathing, mindfulness, or guided meditation before and during your appointment can significantly reduce fear.

7. Consider Therapy for Dental Phobia

For those with severe dental fear, therapy techniques such as Cognitive Behavioral Therapy (CBT) can help retrain your brain to associate the dentist with positive experiences.

The Consequences of Avoiding the Dentist

Skipping dental visits can lead to:

  • Tooth decay and cavities worsening over time
  • Gum disease, which can affect overall health
  • Tooth loss, leading to costly restorative procedures
  • Pain and infections that could require emergency treatment

By taking advantage of sedation dentistry and anxiety-friendly dental care, you can prevent these issues before they become major problems.

Take the First Step Toward Fear-Free Dental Care

If you’re terrified of the dentist, you don’t have to suffer in silence. There are real, effective solutions to help you receive the care you need without fear or discomfort. At The Dental Anesthesia Center in St. Louis, we specialize in sedation and sleep dentistry, ensuring a stress-free and painless experience.

Updated: March 10, 2025