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Salaried dental services in Northamptonshire

letsconnect

letsconnect

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[h=1] THIS WON'T HURT A BIT; GEMMA BRIGGS explains how she banished her fear of the dentist's chair[/h]
GEMMA BRIGGS
The Express
May 8, 2012
MY DENTIST first realised my anxiety was more than just a bad case of nerves when I had a panic attack during a scale and polish. Then when I ran out of an appointment with a surgeon who was to remove a wisdom tooth she referred me to a clinic that specialises in treating patients with a dental phobia.
I had no idea such a place existed, let alone one provided by the NHS.
Statistics show that 12 per cent of people are extremely anxious about visiting the dentist. Psychologist Dr Heather Buchanan says there can be many reasons why, from a bad experience of their own to hearing about it from somebody else, or a fear of injections.
"Some people are so phobic they do not like watching a toothpaste advert," she says.
"What can happen is their oral health deteriorates so when they eventually do have to go they are more likely to have invasive work. It is a vicious cycle."
Thanks to regular check-ups as a child I had few problems with my teeth and was happy visiting the dentist until a wisdom tooth extraction left me confused and scared for days following a deep sedation.
I went on to have another disturbing reaction to strong anaesthesia while giving birth which resulted in me being fearful of medical situations of which I was not in control.
This year the need to have one of my upper wisdom teeth extracted could no longer be put off. Erupted at an awkward angle, it was blocking another tooth causing it to decay.
The thought of sitting in a chair unable to move while a dentist carried out an operation that would leave me poorly for days had been too frightening to contemplate.
Senior dental officer Agata Duczak at an NHS surgery for patients with dental anxiety in Corby, Northamptonshire, spent almost an hour discussing the root of my phobia.
She gave me a tube of numbing cream to prepare my arm for the injection.
On the day of the extraction my boyfriend was allowed to sit in and the assistant stroked my hair and wiped away my tears while the tooth was taken out.
I came round quickly from the intravenous sedation. Having my concerns listened to and the dentist's gentle approach made all the difference.
"We determine first of all what it is the patient needs," says Deborah Manger, clinical director for salaried dental services in Northamptonshire. "For some people they just need somebody to be nice to them but we also offer sedation.
"For a small number of clients we offer hypnosis and cognitive behavioural therapy. The aim is to get them to the point where they can go to their dentist as they would friends and family."
The 2012 Denplan survey on consumer attitudes to dentistry reveals that 35 per cent of those who do not visit a dentist regularly for routine check-ups say the reason is fear.
The survey also shows that among those who have visited the dentist in the past two years, having confidence and trust in the dentist was more important than other factors such as the cost of treatment.
ACCORDING to Dr Nigel Carter, chief executive of the British Dental Health Foundation, "it's about finding the right dentist.
"Go by recommendation or look for dentists advertising that they treat phobic patients as they will have more tools at their disposal. From the first phone call you will get a strong idea as to whether the surgery is suitable for you."
Visit the NHS choices website at www.nhs.uk and on the homepage you can search for health services near you including dentists.
You can then filter the results for those who offer anxiety management as a service.

Copyright 2012 Express NewspapersAll Rights Reserved
The Express

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N.B.: "Salaried dental services" seems to be the new expression for what used to be called "Community Dental Service" (not sure if this has been changed in all areas of the UK or only in some!)
 
brit

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In My Dental Happy Place

"We determine first of all what it is the patient needs," says Deborah Manger, clinical director for salaried dental services in Northamptonshire. "For some people they just need somebody to be nice to them but we also offer sedation.
This is the first time I have seen a quote from a specialist in one of these articles where she actually gets it. If dentists were always nice and caring to people, there would be less fear especially in the presence of effective pain control.
 
vicki

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This is the first time I have seen a quote from a specialist in one of these articles where she actually gets it. If dentists were always nice and caring to people, there would be less fear especially in the presence of effective pain control.
Exactly. Makes you wonder why they don't place a lot more emphasis during their training on things like communication, interpersonal skills, empathy and rapport building. As the saying goes, it's not rocket science. Then again, these attributes don't come naturally to everyone, so maybe not everyone views it with the same level of importance?

Regarding the Salaried vs Community Dental Service thing, I think it depends on the area. Where I live, it has always been known as the Salaried Dental Service rather than Community Dental Service. The services they provide also seem to vary from area to area as well. Where I am, they do provide treatment for patients with special needs but interestingly, they don't really cater to people with dental phobia (other than doing extractions under GA or sedation in hospital) and there seems to be little in the way of NHS sedation options available either (according to what some of my therapy clients have told me). I guess that's the NHS postcode lottery for you!
 
carole

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I agree with everything that has been said here, I cannot stand the thought of being sedated or having GA for dental treatment, with a gentle and understanding manner, and no pain, that can go a long way to keeping me calm, and me being able to get work done.

A good relationship is of the uppermost importance in getting dental work done.

You wouldn't buy a handbag or a car from a person you didn't like or trust, or if they were even rude to you would you, so why would you allow someone to work in your mouth.

You feel weak and lost in your head, when you go, so a nice friendly manner and a smile goes a long way. It makes all the difference between going and avoiding. Along with the no pain and other things I mentioned above. :butterfly:
 
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