/> Terrified patients and concerns about dental care expenses by Dr. L. Scott Brooksby

Cheyenne Advanced Dental Arts

L. Scott Brooksby, DDS, DICOI

Prosthodontist

8960 W. Cheyenne #190

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  • Dear Dr. Brooksby,

    I noted in the last issue of the Israelite that you were awarded the 2009 Best Prosthodontist in Las Vegas award.

    Congratulations. I have heard your spot on KXNT about helping patients that are terrified. I have been terrified of going to the dentist for years and now my mouth is starting to talk to me and I do not like what it is saying. HELP!

    Terrified Dental Patient

    Dear Terrified,

    I like your sense of humor. I am sorry to hear that you have had experiences that have terrified you of going to the dentist. While in dental school I learned to use hypnosis to calm the fears of my patients. I was often able to do complex care with no anesthetic. Unfortunately, this took a lot of time and was not always predictable. Shortly after starting private practice one of my friends needed dental work, but the anesthetic only lasted ten minutes and he was not a good candidate for hypnosis. A local oral surgeon taught me to use a mixture of drugs to help calm and sedate the patient. This was the beginning of our use of sedation dentistry in 1993. I did not like the side effect of the barbituates in the mixture and tried working with out them. I found that using triazolam in the dose we used in the mixture was much safer and did not result in the depression of breathing associated with the mixture. We also found that it caused amnesia for most of our patients. This was usually a good thing. We began to use that regularly with our terrified patients and found that many would become so relaxed that they would go to sleep while we worked on them. Others would stay awake, but be very relaxed. People, while under the influence of the triazolam, would talk to us as though they were not on the medication and never did anything they would not do if not on the medication. Most would report at the next visit that it was the best visit they had ever had to a dentist.

    We have also found that by simply being as gentle as possible that many patients have less discomfort and that this helps build a relationship of trust. This is ultimately the most important factor in overcoming the fear.

    As an advanced surgical prosthodontist I also have the ability to do most of the different types of dental care necessary to help you regain the confidence of a beautiful smile. We also use a lot of humor in our office. Most patients tell us that they have had more fun in our office than in any other office they have been in. A relaxed atmosphere of trust, the ability to provide the needed care and the ability to help use medications that reduce anxiety and help you to relax. These are the things we do to help you to get back to liking the things that your mouth is saying to you.

    Affordable Dentistry

    Dear Dr. Brooksby,

    I need to get my teeth fixed, but with this economy I have been putting off going to the dentist. I know that you specialize in treating difficult dental problems, but I still need to be able to meet my other obligations. Is there any Hope?

    Dear Hope,

    As an advanced surgical prosthodontist I am often able to offer options that allow you to improve your smile while still being able to meet your other obligations. Often doing nothing lets a small problem become larger and more expensive. We often develop treatment options that allow you to start with one part of the treatment and then gradually build up on that treatment to slowly move to where you would eventually like to be.

    I am known in the community for not doing things that do not need to be done and treating you like I would like to be treated myself. Give us a call at . Schedule a free consultation and let's see what we can do to help you. There is no obligation, but we may be able to help get you started now to get things fixed and provide the best value possible. We wish all a Happy Hanukkah and hope your keep love for others in your life.

    If you have questions you would like answered in this column email Dr. Brooksby at scott@lvimplant.com