Tag Archives: sedation dentistry PTSD

Sedation Dentistry

3 Reasons to Be Concerned about PTSD and Teeth Clenching and Grinding

I suffer from PTSD, and for the past 4 years, I clench my teeth during the day and grind them at night. I have some neck pain and headaches that I think are related to my habit. I’ve had the same dentist since 2011, and he says my teeth look okay. But I’m starting to feel short spurts of dull pain in my lower molar teeth. My last exam and cleaning appointment was in mid-February. I’m afraid of the dentist anyway and need sedation for all my appointments. Now with the COVID-19 restrictions, I’m not going to any dentist. Besides, the office is only open for emergencies. I’m wondering if the dull pain and pressure on my lower teeth might be due to cavities or from teeth grinding. Is there anything I can do about this at home? – Thanks. Quinn from San Antonio

Quinn – We’re not sure why your dentist though your checkup appointment was good if you’ve been clenching and grinding your teeth for about four years. And you’re feeling pain and pressure in your teeth. That’s a problem.

Photo of female patient sitting and relaxing in a dental chair, for information on sedation dentistry from Plano female dentist, Dr. Miranda Lacy.
Sedation will help you relax throughout dental procedures

Dr. Lacy would need to review your x-rays and check your teeth and mouth. We’re concerned that your dentist didn’t thoroughly examine your teeth.

When you clench and grind your teeth, more than cavities and fillings are involved. Other oral health issues can arise, including

  • TMJ disorder
  • Gum disease
  • Poor occlusion

We recommend that you seek a second opinion from a dentist who will be more thorough. The pain you’ve described could be from gum disease or the trauma of grinding your teeth. In either case, you need an examination. Without an exam, gum disease can progress and lead to jawbone loss. Grinding your teeth will wear them away.

Your new dentist may be able to resolve your pain and discomfort with a custom night guard. It’s worth it to contact a new dentist and at least have a video conference to describe your symptoms. You’ll receive recommendations on what you can now and how to handle the situation before you see a dentist.

Plano, TX female dentist Dr. Miranda Lacy sponsors this post.

Sedation Dentistry

Will sedation dentistry interfere with my PTSD medication?

I take medication for stress from some traumatic events I experienced during childhood. During the past 3 years, I have been able to cope with therapy and medication. Situations that can potentially make me nervous are heightened because I am predisposed to anxiety. Dental appointments are a real challenge for me. I manage to get through the x-rays and exams. Now I need a root canal and crown and the thought of it is making me nauseous. My dentist mentioned sedation. The office has a list of my current medications. Although he says everything will be okay, I am afraid that there might be a conflict between the sedation from the dentist and my PTSD medication. Should I be concerned? – Jen

Jen – If you are taking any medication, you should always be concerned about how it will interact with other medications. The mild anti-anxiety medication given for sedation dentistry is typically compatible with most medication. If your dentist has a list of your current medications, he can double-check for contraindications and you receive a compatible medication.

Sedation dentistry helps you relax so you won’t be focused on what’s happening during your dental appointment. Many patients find that it also dulls their sensitivity to pain.

When you speak with your dentist again, talk to him about your anxiety disorder. Let him know your concerns about sedation dentistry, as well as what can be done to increase your comfort level during the appointment. Some patients are more relaxed when they are notified before a dentist or a staff member enters the room, instead of being quietly approached from behind.

Communication through each step of the treatment process can also help. It might be helpful if you are told in advance what will happen during treatment and why, as well as what you can expect in terms of sounds and sensations.

Another way to increase your comfort level during sedation dentistry is to ask your dentist the name of the medication you will be given to help you relax. Speak with your medical doctor or pharmacist about the medication and any possible contraindication with your current medication. You can also do your own research on any contraindications with the medication.

Best wishes for an anxiety-free dental appointment and a healthy smile.

This post is sponsored by Plano, TX female dentist Dr. Miranda Lacy.