dental anxiety Archives | Williams Family Dentistry

Burning Mouth Syndrome or Zirconia Allergy

Posted on April 30, 2025 by writeradmin.

I had a zirconia crown placed. Not only was the appointment itself a bit of a nightmare, but ever since the appointment I have had burning in my mouth. It reminded me a bit of when I was on chemo, only without the sores. My dentist said there are no allergies to zirconia so he doesn’t believe that is the problem. I’ve been to two different ENTs. The first one ruled out acid reflux, but could not figure out what was going on. The second one thought it might be burning mouth syndrome, but said we don’t know the cause of it. Is it possible they’re all wrong and this really is an allergy? I need more dental work, but am terrified to move forward without knowing what the cause of this problem is.

Evelyn

Dear Evelyn,

I don’t think it is wise of your dentist to say there are no zirconia allergies. The human body is very unique and even when something is very biocompatible, like zirconia, there could always be someone whose body doesn’t deal well with it. There was a dentist who wrote about some zirconia allergies, but while he posted about it, there is no documentation on the case itself. This makes me wonder if it is just something he heard about instead of witnessed.

You could go to an allergist to get checked for a zirconia allergy, but I am leaning toward agreeing with the second ENT that you are dealing with burning mouth syndrome. While it has been said there is no known cause for this, there have been clear signs that it is related to dental anxiety. Many patients who’ve experienced these symptoms also documented either having dental anxiety to begin with or a traumatic dental appointment that led to the anxiety. As you’d mentioned a traumatic appointment, this makes me think that would be the most likely cause for you.

The good news is that there is a solution to this. My suggestion is that you avail yourself of dental sedation for your needed dental work. I think your anxiety is going to be too high for simply using nitrous oxide. Instead, I’d like you to use oral conscious sedation. If your dentist does not offer that, then I would switch to someone who does.

You have needed dental work and you don’t want to end up with a dental emergency because of your past experiences. Using oral conscious sedation will relax you enough that you could even sleep through the appointment if you wanted to. It can completely change your life.

This blog is brought to you by Lexington, KY Dentist Dr. James E. Williams.

Do I Need an Oral Surgeon to Remove this Tooth?

Posted on January 31, 2025 by writeradmin.

I had a molar that was bothering me. It took me a while to get to the dentist. I waited until the pain was too much. He did a root canal treatment. I did not go back to get the crown. I guess you’ve figured out by now that I avoid dentists. It never seems to go well when I go. No offense, but I think you people like causing pain sometimes. Anyway, once again the pain became more than I could deal with so I went to see a different dentist. He said the tooth is infected and too far gone. His suggestion is that I extract the tooth. He asked me if I wanted to do with an oral surgeon instead of with the dentist. I’m torn. A surgeon would put me to sleep. But, that’s a lot of money. He also said there is a lot of bone, which makes me think that maybe it will be trickier. What do you think?

Adam

Dear Adam,

I don’t like the predicament that this dentist put you in. He hints that it is tricky without giving you any details? That is not what a dentist normally does. It makes me wonder if it is the dentist who is not used to doing these type of extractions and is trying to scare you into seeing someone else. Another possibility is there is something else going on but he just is a bad dentist at explaining things.

Normally, these type of extractions are fine being done at a dentist’s office. My suggestion is that you get a second opinion, but when you do, make certain that you see a sedation dentist. You are not alone in having dental anxiety. As a result, you avoid the dentist, which leads to a more painful appointment.

Dental sedation can give you pain-free appointments, which can get you on the right track with your oral health and help you to have dental care which doesn’t make you want to avoid the dentist. It honestly changes lives. Make sure that whoever you consult offers oral conscious sedation which is a stronger type of sedation for those with severe anxiety.

Once your tooth is extracted, you really will need to replace it. If you don’t, the adjacent teeth will shift or tip into the open space, which will throw off your bite. The best tooth replacement would be a dental implant.

This blog is brought to you by Lexington, KY Dentist Dr. J.E. Williams

Can’t Stand Going to the Dentist

Posted on October 31, 2024 by writeradmin.

Please don’t take this the wrong way, but I cannot stand going to the dentist. I know you are just doing your jobs, but if feels like you are just trying to hurt people. Every single dental appointment I have have ever had has been excruciatingly painful. My dentist said it is because I have a high tolerance to Novocain. Because of this I haven’t been to the dentist in a while and I am starting to get concerned about my oral health. Is there any way to get the care I need without feeling like I’m being tortured by a psychopath?

Stanley

Dear Stanley,

I’m not offended. In fact, I understand what you are going through. Even better, I know the solution. It isn’t as much that you have a high tolerance for Novocain as it is that your dental anxiety, which is justifiably real given your experiences, is burning off your numbing medication.

The solution is to see a sedation dentist. They can provide you with a medication that will completely relax you. Once you are relaxed, then the numbing medication will work to its full effect. There are levels of sedation that you will read about on the page I linked to. Normally, I would suggest that someone start with the lowest form of sedation. Instead, given all that you have been through, I would like you to use oral conscious sedation.

This is strong. Really strong. In fact, you will need someone to drive you to and from your dental appointment as well as stay with you afterward until you are lucid and steady on your feet. The side benefit is that whatever dentist you end up with will be able to get significantly more work done at each appointment than would normally be possible. You will be able to catch up on your dental work significantly faster than you would otherwise.

The sooner you get your work caught up the better because it gives you a greater chance at saving the maximum amount of teeth. If, by chance, there are teeth that you cannot save I would highly recommend that you replace them with dental implants. These are the closest to having your own natural teeth in your jaw bone again.

This blog is brought to you by Lexington, KY Dentist Dr. James E. Williams.

Being Scared of the Dentist Cost Me a Tooth

Posted on August 31, 2024 by writeradmin.

I have been scared of the dentist most of my life. Because of that I haven’t gone in years. The only thing that got me there was because I had a tooth hurting so much that I thought there was no way that I could be in more pain than I already was, so I went. He told me the tooth was way too far gone and there was no way to save it. Now I have to get some stupid removable denture. I’m too you for a fake tooth. He also said I have a few teeth that need a lot of work. I don’t want to end up with a mouth full of dentures. Is there any way to get past the morbid fear I have?

Cammie

Dear Cammie,

I’m sorry about your painful tooth! Don’t beat yourself up too much. You are definitely not alone in having dental anxiety. A large number of people do. Most of the time it is caused by trauma at the dentist when they’re young. Too often a child’s first experience at the dentist is with a dental emergency. Those are rarely pleasant experiences, as you’ve seen as an adult.

I have two pieces of good news for you. First, there is a way for you to have anxiety free and pain free dental appointments. If I were in your position, I would see a dentist who offers dental sedation. They can give you a medication that would actually allow you to sleep through your dental appointments. People who have been afraid of the dentist for years have found that dental sedation changed their life forever.

A second thing I’d love to tell you about is dental implants. These are a much better tooth replacement option than removable dentures. Because they are anchored to your jaw bone, they are completely secure and the closest thing to having healthy, natural teeth.

This blog is brought to you by Lexington, KY Dentist Dr. James E. Williams.

After Three Appointments, My Dentist Still Can’t Get Me Numb

Posted on June 29, 2024 by writeradmin.

I have a serious problem. I’m dealing with a rather challenging tooth infection that needs to be treated. I’m currently living off of antibiotics and pain killers, but these will not last forever. Unfortunately, even though I have had three different appointments with my dentist, he has been completely unable to get me numb enough to get any treatment done. I’m about to the point where I’m going to see an oral surgeon in order to get the tooth removed, but I was hoping to save the tooth. Do you know why I cannot go numb? At each appointment, he has given me a minimum of five shots of Novocain and none of it them has worked.

Any help you can offer will be greatly appreciated.
Avery

Dear Avery,

I am sorry that you have had these experiences. This probably hasn’t made your desire to go to the dentist any better. Bear in mind I have not examined you, however, I believe I do know what is happening as well as a solution for the problem.

Most people are at least a little anxious when it comes to going to the dentist. That anxiety drives up your metabolism. In some patients, this results in it reducing or, in more extreme cases, completely burning up any effectiveness of the numbing medication. This is very likely what is happening to you. Then, the more bad experiences you had with it the higher your anxiety got.

I am going to suggest that you see a sedation dentist. They can provide you with a medication that will help you to relax, thereby getting the numbing medication to do its job. There are different levels of sedation available, the lowest is nitrous oxide and when your procedure is over, you can go right back to your day with no problems. However, given your recent experiences, I feel you are going to need something stronger. I would try oral conscious sedation. This is very strong. So strong that you will need someone to drive you to and from your dental appointment as well as stay with you for a few hours after your appointment to ensure that you are lucid and steady on your feet. The good news is that you will be so relaxed that, not only will you have an anxiety-free and pain-free dental appointment, but you are very likely to sleep through your entire appointment.

I would consider your situation a dental emergency. Don’t stay with this dentist. Get to one who can give you sedation so you can get the treatment you need before this becomes a life-threatening situation.

This blog is brought to you by Lexington, KY Dentist Dr. James Williams.

Do I Go To A Dentist or Oral Surgeon First for Dentures?

Posted on December 19, 2023 by writeradmin.

I have been afraid of the dentist since I was a child. As a result, I only went to the dentist when a tooth was so bad it needed to be removed. Now I am to the point that I need dentures. For the tooth extractions, do I go to the dentist or the oral surgeon?

Danny

Dear Danny,

Any dentist should be able to do the tooth extraction surgery for your tooth extractions. I would go to a dentist who could do both the extractions and create and place your dentures. You don’t want to go to two separate practitioners for this. Don’t call the office and ask them if the dentist is able to do the pre-denture surgery as well. Instead, just ask what the normal procedure is for that office. This way you are getting someone with experience and not someone who says that just to get your business.

Because of your experiences with the dentist that led to your dental anxiety, I am also going to recommend you see a sedation dentist for your procedure. This is administered by a pill and will give you a pain-free/anxiety-free experience. There is no need to put you through any more trauma.

I do want to make sure you understand that your jawbone will begin to shrink after your teeth are removed. After about ten or so years, you will no longer have enough jawbone left in your body to retain your dentures. The way to prevent that is to anchor the dentures to dental implants. This is something I would discuss with your dentist before making a final decision.

This blog is brought to you by Lexington, KY Dentist Dr. James E. Williams.

Antibiotics and a Tooth Infection

Posted on September 30, 2023 by writeradmin.

I had a toothache that I just couldn’t get rid of. Normally, I would avoid the dentist like the plague but the pain became too much to bear. I went to see an emergency dentist. He gave me some prescription antibiotics to treat the infection. It did help at first. However, once it ran out I started feeling bad again. In fact, it got worse. Now my whole cheek is swollen. Would a second antibiotic finish off the infection or is it something worse than I thought?

Darrell

Dear Darrell,

Either there was a miscommunication and you didn’t hear that there needed to be some follow up action or the dentist who treated you has a serious lack of understanding in how tooth infections work. An antibiotic will only hold the infection at bay for a while, however, it will not cure the infection. There are two ways to really treat a tooth infection. The first is to do a root canal treatment. This is preferred because it saves the tooth. If that is not possible, the next option is to extract and replace the tooth. Hopefully, it will not come to that, but if it does the best tooth replacement is a dental implant.

I hope this was mentioned to you. My suggestion is that you call another dentist and get this tended to right away. People still die from tooth infections because they can spread to your heart, lungs, or brain, all of which are close to your jaw.

You are not the only patient to deal with dental anxiety by avoiding the dentist. Though, it is not the safest way for you to live. I believe I have a solution for you. I would like you to see an emergency dentist who also offers dental sedation. This is a way for you to have an anxiety-free/pain-free dental experinece.

Anxious patients, who have tried this, found that it completely changed their life. They were finally able to get their oral health under control and see the dentist without fear.

This blog is brought to you by Lexington, KY Dentist Dr. James E. Williams.

A Procedure Where It Was Almost Impossible to Get Numb

Posted on August 31, 2023 by writeradmin.

I recently had a tooth extracted. It was my bottom, left back molar. I think my dentist called it tooth #18. I have three major concerns that I need to ask someone other than my dentist about. First, it took multiple shots to get me numb. I lost count at 13 and was just crying by them. Is this normal? Second, a few days after the extraction, a bone spur appeared at the site. I wasn’t thrilled with the deal of going back to the dentist after the extraction, but it hurt so much any time someting even brushed it (including my tongue) that I had to. It took the dentist about 30 minutes to deal with that. Now, about eight days later, the extraction site has a sharp ridge. It’s also still painful for me to swallow and eat. I don’t even try to smile anymore. I think I’ve lost confidence in this dentist and I don’t know what to do about this ridge or even if any of this experience was normal.

Mary

Dear Mary,

You have definitely had a rough go of things. Let’s start with the problem getting numb as this will impact every dental appointment you have. I highly doubt your dentist missed the tooth area that many times. The underlying issue more likely lies in a dental anxiety issue combined with your dentist not understanding how that impacts your ability to get numb.

As your anxiety goes up, it gets harder and harder for your body to stay numb. This is because your metabolism jumps up during that anxiety and burns off the numbing medication. This is why it was so difficult for you to get and stay numb. Now for the good news. There is a solution to this.

Pain Free Dental Procedures

My suggestion is you go to a dentist who offers dental sedation. In some cases, all you need is nitrous oxide. This is a mild form of sedation that relaxes you. It is sometimes called laughing gas because of the floaty feeling it gives you. It has the benefit of allowing you to immediately get on with your day because, once the procedure is over, they switch the gas to oxygen and you are back to normal in just a few moments.

Some patients have such a high anxiety level, however, that they need something a bit stronger. If you are in that camp, my suggestion is oral conscious sedation. This takes a little more preparation. While it is administered by a pill, this pill is so strong that you will need someone to drive you to and from your appointment as well as stay with you at home until you are lucid and steady on your feet.

Your Other Questions

The bone spur puzzles me. I don’t have a lot of information about it. What I can say is that dentists should try their best to remove any loose pieces of bone, etc. As for the sharp ridge, I have more information. When the tooth is first removed, the socket will have a sharp edge to it. You didn’t notice it because the gum tissue is over it and a bit swollen. As it heals the gum goes back to normal size and the sharp edges are then on the surface. If it is causing you a problem, your dentist can smooth it or clip it.

I hope this helps.
This blog is brought to you by Lexington, KY Dentist Dr. James E. Williams.

Worried About Having My Wisdom Tooth Extracted

Posted on March 14, 2022 by writeradmin.

I have a wisdom tooth in my jaw that has a pretty good cavity and is partially impacted. My other wisdom teeth are fully impacted but don’t have any problems. My dentist said I need to see an oral surgeon to have it extracted because of my age (I’m 37), which he says puts me at risk. He also mentioned that there is a risk of nerve damage. I’m not a comfortable patient under the best of circumstances, but now I’m terrified of this procedure. Help me understand how serious this is and is there a possibility I can not have the tooth removed at all?

Sienna

Dear Sienna,

I wish these impacted wisdom teeth of yours had been extracted when you were in your late teens to early twenties. At that age, everything is quite pliable and super easy to remove. As you age, the bone gets thicker as the roots fully form. The older you get the more difficult the extraction. I would not wait for the other ones to bother you before having them extracted. It will only get more complicated the longer you wait. As for the one with decay, it does need to come out. You don’t want to wait for an infection to develop, which can turn into a dental emergency.

As for the potential for nerve damage, that is only a real risk if the tooth is impinging on the nerve. Surgeons always tend to overstate the risk because they want to avoid any possibility of a lawsuit if things happen with a nerve beyond their control. Just make sure whomever you see gets some good 3-dimensional x-rays. This way he can work around any nerves.

I did want to address a different type of nerve issue, however. You mentioned you were not the most comfortable of patients. I want to suggest that you see a sedation dentist for any further dental care you need. Having something like oral conscious sedation when you need any work done will greatly improve your feelings toward the dentist. You will finally be able to have anxiety-free/pain-free appointments.

This blog is brought to you by Lexington Dentist Dr. John Weaver.

High Resistance to Novocain

Posted on October 30, 2021 by writeradmin.

I need some advice. Dental appointments are a complete nightmare for me. My dentist has never been able to get me numb before. It didn’t matter how many shots he gave me, I would still be in agony. As a result, as you can imagine, I need a lot of work done. Is there any way to help me with this? I’d really love to get control of my dental health. I’m desperate because my mouth is a mess and it is getting embarrassing.

Marie

Dear Marie,

I want to first give you some peace in knowing that there is a solution to what you are going through. I am sorry you have had to endure so many painful appointments. There are quiet a few dentists who do not yet know there is a very real connection between dental anxiety and the ineffecutalness of numbing medication. By that I mean, the higher your dental anxiety, the less likely the numbing medication is to work. That sounds like a terrible inverse, doesn’t it? Here is the good news. There is a fix.

What you need is a dentist who offers dental sedation. This will allow you to have a pain-free/anxiety-free dental appointment. How it works is the medication relaxes you, which in turn keeps your body from metabolizing the numbing medication too quickly. Given the number of painful appointments you have, I am going recommend you find a dentist who offers oral conscious sedation.

This is a stronger medication. It is administered by a pill. However, it is so powerful that you will need to have someone drive you to and fron your appoinment as well as stay with you for a few hours after your appointment. There is an additional benefit to you as well. Using oral conscious sedation will allow you to get more work done at each appointment, giving you the ability to get your oral health care under control faster.

This blog is brought to you by Lexington, KY Dentist Dr. John Weaver.