My friend has been advised scaling and root planing.....she is concerned is it painful as the dentist told her that he would give her an anaesthetic injection....she is very scared of dentists as well as needles and is not ready to get the anaesthetic injection....is it really important to get the injection...
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usually at this age there are no deposits or infection are to this extent so that deep cleaning is required. but if you are advised this procedure it must have been required. dont get anxious over injection. it will be just as discomforting as you are injected elsewhere in body. after that whole procedure will be a smooth ride.
Deep scaling with anaesthetics is required when there is bone loss , pocket formation and the need to clean deep below the gums .cleaning in such conditions would hurt and hence anesthetics are used to make it painless.
So to answer your question, injection is necessary to avoid pain , if no pain or minimum pain is there during the procedure then anesthetics can be avoided.
The real question is do you need the deep cleaning ?
Dear Sir ! Even i hate the sensitivity caused by Scaling and Root Planing. It is a annoying feeling but is bearable. She will not experience Pain per say. But just annoying sensitivity like when we get after drinking cold water. This Sensitivity is bearable by most. But if she is a little too sensitive, then i shall suggest Novocaine Gel. This is a Anaesthetic gel applied on the Teeth like a cream to Numb the sensation caused from Scaling and Root Planing. It is Non Invasive [No Needles :) :) ] so she can happily get treatment with reduced sensation.
Please consult the dentist about Anaesthetic Gel instead of Needles and make sure the Dentist advises a Mouthwash containing Chlorhexidine after the treatment.
Note : The sensitivity will be further reduced if she uses "Sensodyne Toothpaste" 5 days before the treatment and after the treatment. Always remember everyone has different levels of Tolerance to Pain and Sensitivity. some may feel something as Sensitive whereas others may sense the same as Pain. No Dentist can ever promise a 100% Painless treatment without the use of Local Anaesthesia to numb the Local nerves directly, even so some people may still feel what we call as Pressure (In Lay Man terms), the sensation of something foreign where its not supposed to be.
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