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More than 20 million Americans suffer anxiety about visiting the dentist, so much so that some avoid dental checkups altogether.

"Regular visits to the dentist are critical to your oral health, and avoiding them can lead to bigger oral health problems later on," says Dr. Jed Jacobson, vice president of Professional Services and dental director at Delta Dental of Michigan, Ohio and Indiana. "The good news is that today, no one needs to fear the dentist. Modern procedures make most dental work virtually painless. Moreover, there are a variety of techniques that can be used to relax fearful patients during dental visits."

People fear dental visits for a variety of reasons: fear of the unknown, embarrassment about the current condition of teeth, or a perception that dental visits are not affordable.

Most fears can be overcome simply by finding the right dentist for you and practicing techniques to help relieve your anxiety. Delta Dental recommends the following methods for addressing your anxiety and relaxing your nerves at the dentist:

  • Gain control. Eliminating the unknown is a big step in helping overcome fears. Learn as much as you can about the procedure you are having done, and take an active part in decisions about your treatment. Ask your dentist to explain the procedure to you ahead of time and feel free to ask questions.

  • Communicate with your dentist. Don't be embarrassed if you're nervous about a particular procedure. Communicate these fears to your dentist so he or she will have a better understanding of how to treat you during the procedure.

  • Develop a signal with your dentist. Knowing you can stop a procedure at any time will go a long way toward alleviating your fears in the dental chair. Let your dentist know that you'll raise your hand or signal in some other way if you need a short break during a procedure.

  • Find a distraction. Many dentists now provide television, headsets with music or virtual- reality-type glasses that can help distract you during a procedure and block out the sound of dental instruments, which can trigger anxiety.

  • Discuss pain control with your dentist. Modern dentistry offers a variety of effective pain control medications. Review your options with your dentist to learn which one is right for you and your particular procedure.

"With all of today's modern dental techniques, there is no reason anyone should suffer from dental anxiety," explains Jacobson. "Clear communication with the dentist prior to and during dental procedures will help patients have more relaxed dental visits."

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