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Anxiety is a state of agitation or restlessness of the soul, this means that it is a psychic disturbance characterized by a state of extreme insecurity and restlessness. The main signs and symptoms of anxiety are sweating, tachycardia, blushing, piloerection, apprehension, fear, restlessness, shocks, tremors, among others. There is talk of pathological anxiety when responses far from being adaptive become a problem due to their exaggeration. Thus, anxiety can be exogenous primary, whether it is childhood phobias, or endogenous primary due to an anxiety crisis.  Stress can be one of the triggers of anxiety. Stress increases the heart and respiratory rate, and the release of catecholamines (before the possibility of aggression) that causes an increase in blood pressure and an increase in oxygen consumption at the muscular level. So the pain threshold decreases.

Stress and anxiety, related to the dental office visit, can trigger anginal attacks in the office. Therefore, staff must be prepared / trained for these situations. Stress causes:

  • Tachycardia
  • Tachypnea
  • Increased blood pressure
  • Increased muscle function
  • Increased secretion of endogenous catecholamines.

Before an effort, the coronary patient increases his myocardial oxygen demands, just like the normal subject but, unlike this, loses the ability to increase the flow. 


Pain has a purpose: to warn that the environment represents a danger for the organism itself; in this way the individual reacts with a defense mechanism that, in the long run if repeated, ends up being a reflex. Thanks to this repetitive experience, and also, above all, to mechanisms of association, anxiety protects the organism by anticipating danger, first stimulating a state of alertness or an evasion reaction that precedes the defense or fight phase already declared. The anxious note more pain. In addition to this decrease in pain threshold there is also an increase in medication tolerance. That’s why the dentist has to know how to treat that anxiety.

Methods To Reduce Anxiety In The Dentist, Alternatives And Solutions


When the dentist-patient interaction is very good, we could risk saying that there are plenty of other pain control methods that are not purely local anesthesia. It is the dentist (not parents or relatives etc.) who has to play the role of “driver” and provide all the necessary and accurate information about what is going to happen and who verbally explains what has happened and why that pain has occurred. The participation of the patient is very important, for example, to tell him to raise his hand when it hurts (he becomes in control of the pain), to inform him exactly when the intervention will last, the steps that we will follow … Then, the patient when checking that the The intervention has come out as the dentist had said, he is gaining confidence.


In the office there should be a relaxing music with adequate coloration to provide patient relaxation and avoid anxious situations. In addition, at a higher age there is a high percentage of polymedicated patients, which increases the likelihood of drug interactions. There should be good pain control, being able to guarantee patient analgesia. All this can increase anxiety, anxiety is transformed into stress. So for the control of pain and to ensure the non-perception of pain by patients, good analgesia should be done.

A local anesthesia with vasoconstrictor is used for local analgesia. A slow injection with a continuous aspiration, avoiding making quarters of rotation so that if you are inside a glass, when you perform the aspiration you can collapse this glass and have a false negative aspiration, that is why, when making small turns it can be ensured that it is not inside a glass. The total dose of adrenaline should never exceed 0.2mg in a healthy adult or 0.04mg in a cardiac patient, that is, a maximum of 4 carpules of local anesthesia.


In the attitudes that must be taken by the dentist, three parts are distinguished:

  • Before treatment
  • During treatment
  • Anxiety at the dentist

Before treatment, the patient should be listened carefully to the patient. Find all possible causes of anxiety in the patient and thus be able to combat them. It is important to explain to the patient in a clear way the treatment plan, attending to it according to their intellectual level. The environment in the office should be a relaxing environment. Finally, treatments should be carried out progressively and always taking into account the use of anxiolytics when necessary.


Due to periodontal diseases, people experience unhealthy gums or gums loss. This dental disease is led by a plaque buildup and tartar on the teeth. In case these issues become progressive, it can lead the gums to recede and the roots of the teeth to become exposed. To reverse your unhealthy gums into a healthy one, you’ll require a get dental care. You also need to make some conversions in your diet or oral routine that can enhance the health of the gums.

Get Back to Your Healthy Gums- Tips and Tricks

Signs that the Gums are Unhealthy

In order to take proper care of the gums, it’s essential to look out for signs that indicate there is an issue developing. Signs that you might have an issue developing include:

  • Red gums
  • Uncontrollable bad breath
  • Tender gums
  • Bleeding gums
  • Swollen gums
  • Red gums
  • Painful chewing
  • Sensitive teeth
  • Receding Gums

Here we have some effective tips and tricks in order to get back to your healthy gums.

Dental Cleanings

A regular dental cleaning can greatly minimize the chance of gum loss. In dental cleaning, the dentist will clean away the tartar and plaque that can lead to periodontal disease.

  • In the regular cleaning checkups, your dentist will possibly spot the signs of unhealthy gums or gums loss.
  • In case you feel your gums are receding, you need to make an appointment to visit your dentist as soon as possible. The dentist can examine the state of the gums, clean the teeth, and guide you regarding the treatments that you may require.

Specialized Cleaning for Receding Gums

This procedure is also known as root planning and tooth scaling, remove tartar and plaque from as well as below the gums. Making a clean and smooth surface under your gums will enable them to return to their proper place. After smoothing the surface area of your tooth, bacteria will have a tough time attaching to the surface of the tooth later.

Quit Smoking

Smoking can lead to a large amount of plaque to attach to the teeth. It can also lead the gums to start receding. To eliminate the issues related to gums and teeth, make a plan in order to quit smoking and put the plan into action. There are many things that can lead the gums to recede that you can’t eliminate or prevent. However, you may be aware of the other contributing factors and know that you require to be especially vigilant about your dental care if you have them — for instance, old age, pregnancy, a family history of gum issues, and menopause.


Dental Implants - Adkins Family Dentist

If you deal with the subject of dentures, sooner or later you will stumble across dental implants. Most people are familiar with the term implant and many can imagine it more or less. But that’s not enough for us.

We want you to understand exactly what a dental implant is, what it does, how it is constructed and what advantages and disadvantages it offers.

This understanding should help you if you ever have to decide whether you want an implant or would prefer to use other types of dentures.

So let’s start with the basics:

What Exactly is a Dental Implant?

First of all, a dental implant is a form of fixed dentures that is implanted in the jawbone. It replaces a missing or badly damaged tooth and is technically referred to as an endosseous implant (implant sitting in the bone).

The Detailed Structure of a Dental Implant

The structure of the dental implant depends entirely on what type of denture it should be worn later. If the implant is to wear a single crown or an implant bridge, it consists of three different parts, the implant body already mentioned in point 1, the abutment and the implant crown.

Structure - Dental Implants
Materisl - Dental Implants

Types of Dental Implants

So far, we have mainly treated two-part implants, which are used as standard nowadays because they are more adaptable and versatile. They consist of the implant body and the superstructure, i.e. either a crown, bridge or prosthesis.

  1. Standard dental implants
  2. Short dental implants
  3. Orthodontic implants / TAD
  4. Disk implants / BOI implants

Materials for Dental Implants

Technological progress also includes the materials that are used to manufacture a dental implant. Materials that were still used 20 years ago can now be replaced by modern alternatives. Two materials are used most frequently: titanium and ceramic.

Who are Dental Implants Suitable for?

The good news is that almost every patient fulfills the requirements for a dental implant and therefore hardly anyone has to do without it. However, there are some limitations, which in most cases can be easily resolved. A basic prerequisite for successful implantation is that there is sufficient bone substance, which is problematic for patients with a very narrow jaw or generally little bone substance.

Before the implantation, a bone structure will therefore be required so that the implant can be firmly anchored in the jaw. Smoking, diabetes and a weak immune system are risk factors that must be taken into account when planning the implant, but do not definitely rule out treatment.

Dental Implants Type

Special attention must also be paid to osteoporosis patients who take medications with the active ingredient biophosphonate. This active substance affects the healing process of the implant, which is essential for the following steps. An implant is therefore suitable for almost every patient, although in some cases special factors must be taken into account, which do not make the procedure impossible.

It does not matter whether only one tooth or all teeth need to be replaced, since implantology provides treatment methods for both cases.