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Pain is a complex issue. There is a biochemistry of pain and a psychology of pain, and you can't fully explain pain and its intensity without understanding both fields of knowledge.

There are interactions between hormones related to emotions and the transmission of the pain. The dentist can give an injection of local anesthetic, and, if the anxiety level of the patient is high enough, the pain transmission will still occur, in spite of the fact that the local anesthetic is supposed to be blocking the transmission. If we treat the anxiety level, then the local anesthetic works. Or, there are times when the local anesthetic may work but because of anxiety, it wears off very quickly. This anxiety is beyond the patient's control - he cannot merely reason himself out of it. It is there, and he has to deal with it.

Without proper empathy, it is difficult for a dentist to fully treat pain during treatment - there will be a lack of understanding of the emotional and psychological aspects of the pain and its interpretation.

Treatment options:
For low levels of anxiety, NITROUS OXIDE gas works well. It brings the level of anxiety down just enough for the local anesthetic to work and the treatment to be comfortable.

For higher levels of anxiety, which occurs when there is a history of traumatic dental treatment, orally medicated conscious sedation may be indicated, like Medazolam.

Often, patients with memories of traumatic dental care, after a few appointments with sedation, are able to move away from the sedation. With a few successful dental appointments under their belt, the doctor can lower the level of sedation so that they remember the appointments with greater and greater clarity, until they no longer need sedation.

Sometimes, with very high levels of dental fear, patients, in spite of very adequate levels of sedative, still cannot seem to endure the dental treatment. However, after the appointment, they may not be able to remember the appointment. The treatment then is successful in their mind and this successful experience works for their benefit by reducing their anxiety in subsequent appointments.


Anesthesia

Price EURO €

Dental treatments + hospital fees (Only for Children)

800

Nitrous Oxide / Session

20


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