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Dental Anxiety When a Regular Dental Visit Feels Overwhelming

Dental Anxiety When a Regular Dental Visit Feels Overwhelming
September 22, 2026adminTeeth Talk

By: Dr. Lee Lichtenstein

Going to the dentist can be stressful for many people. For some, however, dental anxiety can make even a routine appointment feel overwhelming. The sounds of dental equipment, needles, the feeling of having someone work inside the mouth, or simply sitting in the dental chair can create significant fear or discomfort.

For patients who have severe anxiety, sensory sensitivities, developmental disabilities, difficulty communicating, or previous negative experiences at the dentist, receiving dental care can be even more challenging.

Dr. Lee Lichtenstein, a dentist and anesthesiologist, specializes in helping patients who may have difficulty receiving dental treatment in a traditional setting. His background in both dentistry and anesthesiology allows him to focus on the dental treatment while also considering the patient’s comfort and safety throughout the procedure.

What Can Cause Dental Anxiety?

Dental anxiety can develop for many different reasons. Some patients may have had a painful or uncomfortable dental experience in the past. Others may be nervous about needles, the sound of the drill, getting numb, or not knowing what to expect during a procedure.

Children can also have difficulty sitting still or understanding what is happening during a dental appointment. Some patients may have sensory sensitivities that make the lights, sounds, smells, or physical sensations of a dental office difficult to tolerate.

For others, anxiety may be related to a medical condition, developmental disability, or difficulty communicating.

Whatever the reason, dental anxiety is very real and can sometimes cause patients to delay or completely avoid necessary dental care.

When Traditional Dental Care Isn’t Enough

Many patients with mild dental anxiety can feel more comfortable with reassurance, additional time, and communication with their dental team. However, some patients may need additional support to successfully complete their treatment.

This can include patients with severe dental phobia, special needs, developmental disabilities, autism, sensory sensitivities, or difficulty following instructions. It can also include children who are unable to sit comfortably through a dental procedure.

Dr. Lichtenstein works with patients and their families to understand their individual needs and determine what type of approach may be appropriate.

How Sedation and Anesthesia Can Help

For certain patients, sedation or anesthesia may provide an option for completing dental treatment in a more comfortable and controlled way.

The type of sedation or anesthesia used depends on several factors, including the patient’s age, medical history, level of anxiety, type of dental treatment, and ability to cooperate during the procedure.

In some cases, anesthesia may allow a patient to complete dental treatment that would otherwise be extremely difficult or impossible to tolerate while awake. Depending on the situation, multiple treatments may also be completed during one appointment.

The goal is not simply to put a patient to sleep. It is to create an environment where necessary dental care can be provided while the patient’s comfort and safety are carefully monitored.

A Different Approach for Every Patient

One of the most important parts of treating patients with dental anxiety is recognizing that everyone is different.

What helps one patient feel comfortable may not work for another. Some patients may simply need extra time and reassurance, while others may require sedation or anesthesia.

Dr. Lichtenstein’s training as both a dentist and anesthesiologist gives him a unique perspective when caring for patients who have difficulty with traditional dental treatment. His approach takes into account the patient’s individual needs rather than assuming that every patient will respond to treatment in the same way.

Helping Children and Patients With Special Needs

Dental anxiety is not limited to adults. Children may have difficulty understanding dental procedures or sitting still for an extended period of time. Patients with developmental or special needs may also have difficulty communicating their concerns or tolerating certain sounds, sensations, or procedures.

For these patients, working with an experienced dental team can make a significant difference.

Parents and caregivers can also help by sharing information about the patient’s previous dental experiences, sensitivities, communication style, and anything that typically helps them feel comfortable.

Dr. Lichtenstein can then work with the patient, family, and dental team to determine an appropriate plan for care.

Don’t Let Anxiety Keep You From the Dentist

Avoiding the dentist because of anxiety can allow small dental problems to become larger ones. If fear, sensory issues, previous experiences, or other challenges have made dental care difficult, there are options available.

Dr. Lee Lichtenstein’s specialized training in dentistry and anesthesiology allows him to care for patients who may not be comfortable or able to receive treatment in a traditional dental setting.

Whether a patient is dealing with severe dental anxiety, a fear of needles, difficulty sitting through treatment, sensory sensitivities, or other challenges, the first step is having a conversation about what is making dental care difficult.

Finding an approach that works for the individual patient can make it possible to receive the dental care they need while feeling more comfortable and supported throughout the process.

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PRACTICE INFO

Dr. Lichtenstein’s office is located in Holmdel, NJ, Adjacent to Bayshore Hospital

Phone: (732) 739-3337

leemlichtenstein@gmail.com

723 North Beers Street, Suite 1A Garden State Medical Arts Plaza Holmdel, NJ 07733

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