Overcoming Fear of the Dentist- Dr. Antolak in Shelby, Township Michigan


Hi, my name is Dr. Robert Antolak at thegentledentist.com. We are located in Shelby Township, Michigan, and our phone number is 586-247-3500.

What I’d like to talk about today is, which is something that obviously has been a part of me, what I’ve been doing dentistry for the last 24 years, is the fear of the dentist.

Dentistry is a very fearful place. That’s why we are thegentledentist.com. And it’s something that I’ve have an appreciation with the dental patients who come in here, who give me the opportunity to serve them. It’s through our dental office that we try to make a difference. And we do that by people who’ve been putting off dentistry for years and years because of the fear that develops and lives within them from the dentist.

I’d like to just address a couple of those issues. One would be, some really bad childhood experiences. For example I’ve had stories of people who had dentists who slapped them and yelled at them who didn’t listen to them when they were having fillings done in their teeth and hurting them and they were saying, it hurt, it hurt and they, they just ignored it.  They just finished doing it. So from me to you I apologize for those really bad experiences that have taken place back in childhood. Now with more modern, compassionate techniques that we do at our dental office I would like to invite you in so we can help you, deal with those issues that have taken place.

You know there’s a few things that come in with that and we find is number one is having someone who your gonna trust- it’s all about trust. It’s all about, having some compassion on, on the issues that are going on.  Many times they have to do with childhood, which we talked about the childhood experiences

There is a certain amount of, of space that’s required with people so that they feel comfortable. Normally when we’re a nice distance away people feel comfortable with that, then the closer we encroach upon their personal space, it’s in those moments that people start getting a little bit more nervous. And, so when we get closer and closer and then, we ask you to open your mouth up, and then get into a situation where we’re in your most, very vulnerable, most personal space, called your mouth. That’s gonna create a lot of anxiety for people. And so, I don’t assume that we’re gonna be able to do that without your permission, okay? The reason why the mouth is so sensitive is that it’s very personal.

You now, people don’t always see in there and a lot of times it’s an avoided space. And because we use sharp instruments and if you don’t trust what we’re going to do then you make yourself very vulnerable to those potential issues that have taken place. So we try to work through it and talk to you about it.

One other important thing in our office that we’re going to do is that we’re going to talk to you first before we actually make that appointment and we set you down and we can work out.  I try to make my phone calls before your first visit to see how we can do to make your visit more comfortable. And that first call is very inviting to many people who have this level of fear.  So this lack of control that people have is very, very intimidating, and sometimes we need to just work through it like I discussed. We’re constantly thinking about the need to go and the problem is when somebody’s always thinking about their desire to go. They need to go. I need to go to the dentist. I need to go to the dentist, and their fear overcomes them. Then they beat themselves up.  So that’s really a problem that develops within the psyche of our dental patients. And many times you find that, that phone call I just referred to helps invite them in. To make that stepping into that office a more comfortable experience. Because then they get to know who I am and I get to know who they are. And so the question is, how are we different?

We’re going to listen to your needs, find out what’s there. We want to become your friend. Our office staff is very friendly here. We try to make it a good experience for you, as good as possible. And I’m not going to start before we’re ready to just move in. I’m going to make sure that there’s a relation developed enough so that, so that you’re going to trust what we’re going to do.

I’m also going to inform you of what is being done so there are no surprises. We’re going to make sure that you really, really have a good understanding of what we’re doing. And if there’s, for example, if there’s a time when there might be some sensations that’s uncomfortable. I’m gonna warn you ahead of time. I’ll say, “okay, right now, you’re going to feel something”. And that way, that person’s prepared for that. I try to really limit that amount. I can tell you that when I was a sophomore in dental school, that’s about 26 years ago, that my instructor said, you know, if you want to do a good job with your dental patients in your future, he said, “numb yourself up right here in the front”.

And I did, I realized where it hurts. So since that time, I just make sure that if I’m going to try something new, I do it on myself first as far as anesthetic goes. Then I have some compassion and understanding about that experience. So, since then, I inject very slowly.  We use topical anesthetic too, before we give the injection and what that does is it helps to eliminate that picking sensation that you’re gonna get.

Number one is you always have the ability to stop me, at any time whenever we’re doing something. To make sure you’re feeling comfortable and relaxed. And for those who have that high level of sedate of uncomfortableness and fear. We use sedation dentistry, which helps us to relax you. It’s a little pill that you take. You come in, your relaxed, a lot of times no memory of the experience which is really great. (Sometimes we’ll just use gas, nitrous oxide)

If there’s any questions you may have, you can call us at the office at 586-247-3500 or visit our web site at thegentledentist.com. Thank you, have a blessed day.

Sedation Dentistry in Shelby Township, Michigan


Hi, my name is Dr. Robert Antolak for Gentle Dentist. When people come to us, a lot of people come in because they have a huge level of fear, at the dentist.

You know it goes back to, a lot of times, bad experiences as a child- not being listened to on something hurting them, and avoiding dentistry for a long time. That might be you. What we’ve found is by using sedation dentistry, using oral sedation, is an awesome way to help you have the dentistry that you need in a just a few visits with hardly any memory at all- if any memory at all. The procedure is very safe. Let me explain how that works.

So, the night before, normally you would not eat or drink anything for about eight hours ahead a time. And then you would take a small little pill, actually two a them, an hour before your appointment. You take the pill, you come on in and you’re feeling pretty good by this time. You’re not going to remember pretty much from this point out. And what we’ll do is we monitor your heart rate, your blood pressure, your oxygen that’s in your blood. So you’re very safe. You’re monitored. We have at our office the ability to use gas or nitrous oxide and oxygen to increase your level of sedation or decrease your level of sedation.

Many times we’ll do dentistry for 3-4 hours, at one visit, and you’re the only patient at the time. So you get a lot of treatment completed that you’ve been avoiding for years. And  the beauty is, is that when you’re done you go home, you take a little nap and then you wake up at home, then you think, wow, that was easy. This is because it went very quickly. Time will fly by for you.

So, if this sounds like something that you want, pick up to call us. You can call us at 586-247-3500 or visit our website at thegentledentist.com.

We will prove to you why we are the gentle dentist.

How can a trip to the dentist be such a stressful and challenging situation for so many?

By the nature of our dental name and web site www.TheGentleDentist.com/sedation_dentistry we attract many high fear dental clients who have avoided dental visits for many years.  I would like to address some of the most common situations that we encounter in Shelby Township, Michigan.  It is my hope that if you identify with one of these scenarios that you make a decision to take action and visit your dentist.

  1. “Personal space” is the distance in which one has a certain level of comfort with another individual.  This is defined by the fact that we are more comfortable with strangers at a distance then up close.  The more intimate we are with someone the closer they can encroach on this space.  In the health care profession and dentistry more specifically, we encroach on one’s personal space to treat them usually without permission from the patient.  I tell my dental patients that it takes time to develop rapport and trust so that we can get close enough to them physically to examine and treat them.  We in the medical and dental profession have just assumed that it was OK to jump in the personal space without investing the time necessary to develop trust. This is especially stressful for those who have been in auto accidents, been involved with facial injuries or who have been assaulted.
  2. These traumatic events have made the victim suspicious and skeptical of most anyone and these dental patients usually require a lot of time so that they can trust us.  Eventually permission is granted and we are invited to examine them and enter their personal space.  In our office if they need to stop the visit they have plenty of opportunity to do so without pressure.  Our goal is to have our high fear patients make small positive steps forward no matter how long it takes. Because dentistry deals with one of the most sensitive areas of the body (the mouth) there are many dental patients who have been hurt by the injection, have been treated in a very rough manner or the dentist did not numb them up adequately that they had pain with everything that was done to them. It was during these times that a decision was made and told themselves that they were NEVER going to put themselves in this compromising situation again and so they continue to avoid the dentist at all cost.  We find that these events usually had taken place during a childhood visit and their fear will last their entire life unless something can break the cycle and trust can be restored.   I have heard horrible stories of children getting slapped by their childhood dentist because they complained that they were being hurt.  Many bad events similar to these took place scarring these people for many, many years.
  3. Dental treatment requires a patient to lay flat on their back so we have better access to the mouth to perform dentistry.  This physical body position leaves many feeling venerable and unprotected.   Until they know they are safe, asking a dental patient to lean back may be asking too much out of them.
  4. Gagging is a real issue for those who have a difficult time breathing through their nose.  With a history of gagging there are many patients who are challenged to get back into the dentist for fear that they will be embarrassed from another episode of this.
  5. The sound of the dental drill makes many nervous and am told is like “nails on the chalk board”.
  6. When one avoids the dentist for a long period of time there is a strong tendency of self-condemnation and embarrassment.  The last thing the high fear patient needs is to be “preached at” and being told “you should have …….”.  It is important to show mercy and let them know there is a future and hope.

When we see those who avoided the dentist for many years due to dental fear, a bad experience or other reasons it is vital to not judge them but to let them know that the only thing we can do is learn from the past.  We only have control of the present moment and our reactions to the moment.  With God’s favor they will have a positive future and we at our office want to work towards their goal of this positive future.  I also tell them that it is not my position to judge them because we all have different pasts.  I also provide prayer support for those who desire it.  Many of our patients find comfort in this act of inviting God into their care.

In summary the solutions to the problem:

  • For new dental patients who make dental appointments I like to give them a personal call the day before their first visit to not only welcome them but to start and open the relationship in a non-threatening manner.
  • When one arrives to the dental office we like to give them a tour and treat them like they were visiting our own home.
  • During the interview it is very helpful to discover the source of what makes one so nervous of the dentist and acknowledge it with no judgment.
  • With respect and empathy move forward at the pace the patient feels comfortable doing so.
  • Introduce the use of conscious sedation dentistry which allows us to treat the high fear patient without much memory of the visit.  This also works well when a lot of dentistry in needed at once.
  • Nitrous oxide (laughing gas) is used to take the edge of anxiety off.  The benefit is that they can have treatment without requiring a driver to provide transportation.

Movie Glasses and Headphones attached to our i-Pod are used to block the noises that emanate from the dentistry.  The use of music in this way provides a great distraction.

  • Great techniques used to provide dental anesthesia and numbing is critical to put an end to painful shots and lack of complete numbness.

My hope for you is that your dental provider has an understanding of these principals and uses them to provide compassionate dental care.  Modern dentistry should not hurt and if your fear has kept you from getting your oral health taken care of then take action now.  2011 is here and do yourself a favor and get the New Year off on the right foot by taking the first step by calling your dentist.  If you do not have a happy dental home then call us at now (586)247-3500.  If you prefer to email me directly with questions or concerns about your fear then my email is DrAntolak@TheGentleDentist.com.