Does the sound of a drill make your palms sweat? Do you put off scheduling appointments until a dull ache becomes impossible to ignore? If you are scared of going to the dentist, you are certainly not alone. Dental anxiety affects millions of people, ranging from mild nervousness to debilitating phobia. This fear often leads to a cycle of avoidance, where missed appointments lead to bigger dental problems, which only reinforces the fear of treatment.
But it doesn’t have to be this way. Modern dentistry has evolved significantly, prioritizing patient comfort just as much as clinical excellence. With the right mindset, strategies, and a supportive dental team, it is entirely possible to change your relationship with dental care.
At 5 Mile Smiles in Spokane, WA, Dr. Jason Keefe and his team have spent over 25 years helping patients overcome their hesitation. We understand that walking through our doors can be the hardest part of the process.
This guide is designed to provide you with actionable strategies to manage your nerves, ensuring that “dentist nervous” feelings don’t stand in the way of your health.
Key Takeaways
- Dental anxiety is a common experience that can be managed with the right approaches and understanding.
- Building trust with your dental care provider is an essential first step in overcoming nervousness.
- Preparing for your visit through relaxation techniques, open communication, and understanding the process can help ease anxiety.
- At 5 Mile Smiles, Dr. Keefe and his team are experienced in supporting patients with dental fears, ensuring a compassionate and comfortable experience.
- Prioritizing your dental health will not only benefit your oral hygiene but also your overall well-being.

Understanding Dental Anxiety
To learn how to not be scared at the dentist, it helps to understand where that fear comes from. For many, the root of the problem lies in a negative past experience. Perhaps you had a painful cavity filling as a child, or a dentist who didn’t listen to your concerns. These memories can linger, causing your brain to associate the dental chair with danger.
For others, the anxiety is triggered by a fear of pain or a loss of control. Lying back in a chair while someone works inside your mouth can feel incredibly vulnerable. There is also the fear of the unknown—worrying about what the dentist might find or how much a procedure might cost.
It is important to differentiate between general dental anxiety and a true dental phobia. Anxiety might make you feel uneasy or worried, but you can usually force yourself to go. A phobia, however, is a more intense, irrational fear that can lead to panic attacks and complete avoidance of dental care.
Regardless of where you fall on this spectrum, acknowledging your feelings is the first step toward managing them. Your oral health is deeply connected to your overall well-being, and addressing this anxiety is a crucial act of self-care.
Practical Strategies to Overcome Dental Fear
Conquering your fear is often about preparation and taking small, manageable steps.
Here is how you can tackle your anxiety at every stage of the appointment.
Before the Appointment
Choose the Right Provider
Who you choose to care for your teeth makes all the difference. You need a dentist who is not only clinically skilled but also compassionate and patient. In Spokane, Dr. Jason Keefe has built a reputation for his gentle approach. At 5 Mile Smiles, the atmosphere is designed to be warm and inviting—more like a spa than a cold clinic—which can immediately lower your stress levels. When looking for a dentist, read reviews and look for mentions of how they handle nervous patients.
Communicate Your Fears
Don’t keep your feelings a secret. When you book your appointment, tell the receptionist, “I was scared of dentists in the past,” or “I am currently very nervous.” Dental teams appreciate this honesty because it allows them to prepare for your visit. They can schedule extra time for you, explain things more slowly, and ensure you feel heard.
Practice Relaxation Techniques
In the days leading up to your visit, practice deep breathing or meditation. Visualizing a successful, pain-free appointment can help rewire your brain’s response. Techniques like “box breathing”—inhaling for four counts, holding for four, exhaling for four, and holding for four—can physically calm your nervous system.
During the Appointment
Establish a Signal
One of the biggest triggers for anxiety is feeling like you can’t speak or stop the procedure. Before the exam begins, agree on a “stop” signal with your dentist, such as raising your left hand. Knowing you have the power to pause the action at any moment restores a sense of control.
Distract Your Senses
If the sounds of the dental office trigger your anxiety, block them out. Bring noise-canceling headphones and listen to your favorite music, a funny podcast, or an engaging audiobook. Dr. Keefe encourages patients to use distractions that take their minds off the immediate environment.
Ask for Explanations
Fear of the unknown is powerful. Ask your dentist to explain what they are doing before they do it. A “tell-show-do” approach—where the dentist tells you what they will do, shows you the tool, and then does the procedure—can be very reassuring for those who are dentist nervous.
After the Appointment
Reward Yourself
Positive reinforcement works for adults, too. Plan a small treat for after your appointment, like buying a specialized coffee, going to a movie, or taking a relaxing walk in a park. This helps your brain begin to associate dental visits with a positive outcome rather than just fear.
Reflect on the Success
Take a moment to acknowledge that you did it. You faced your fear and survived. Remind yourself that the anticipation was likely worse than the actual event. This reflection builds confidence for your next visit.
Advanced Techniques and Options
Sometimes, deep breathing and headphones aren’t enough. Fortunately, modern dentistry offers advanced solutions to ensure your comfort.
Sedation Dentistry Options
If your fear is preventing you from getting necessary work done, sedation dentistry might be the answer. At 5 Mile Smiles, Dr. Keefe is certified by the Dental Organization for Conscious Sedation (DOCS). We offer oral conscious sedation, which involves taking a pill (typically Halcion or Triazolam) before your procedure.
This medication puts you in a deeply relaxed, dream-like state. You remain conscious and can answer questions, but your anxiety is eliminated. Many patients have little to no memory of the procedure afterward, which is ideal for those who say, “I was scared of dentists because of the sounds and smells.”
The Role of Technology
Old-fashioned dental tools often contribute to fear. However, cutting-edge technology can make procedures faster, quieter, and more comfortable.
- WaveOne Technology: For root canals, Dr. Keefe uses the WaveOne system. This advanced tool allows for faster, more efficient treatment, meaning less time in the chair and a smoother experience compared to traditional methods.
- CEREC Same-Day Crowns: Traditionally, getting a crown meant two visits, messy impressions, and a temporary cap. With CEREC technology, Dr. Keefe can design, mill, and place a permanent porcelain crown in a single visit. This means fewer injections and less time spent in the dental office.
- 3D CBCT Imaging: This technology provides a comprehensive view of your mouth without invasive probing, allowing for accurate diagnosis and clear communication.
Open Discussions
Never hesitate to ask about the tools being used. Understanding that your dentist uses the latest technology to minimize discomfort can be a huge relief.
At 5 Mile Smiles, we believe an informed patient is a less anxious patient.
The Importance of Regular Check-Ups
It might seem counterintuitive, but the best way to stop being scared of going to the dentist is to go more often.
When you avoid the dentist for years, minor issues like small cavities or early-stage gum disease can evolve into major problems requiring complex treatments like root canals or extractions. These extensive procedures are often what people fear most. By maintaining regular six-month check-ups, you ensure that most of your visits are simple cleanings and exams.
Regular visits also help build familiarity with the dental team. The environment becomes less foreign, and the clinical smells and sounds become less triggering over time. At 5 Mile Smiles, we offer comprehensive services ranging from general cleanings to restorative implants. This means you can have all your needs met under one roof by a team you already trust, rather than being referred to strangers for different procedures.
Ignoring oral health doesn’t just put your teeth at risk; it can impact your heart health and systemic well-being. Taking the brave step to book that check-up is an investment in your total health.

Frequently Asked Questions
Q: Will the procedure hurt?
A: Modern dentistry is focused on pain management. Before any procedure that might cause discomfort, Dr. Keefe uses effective local anesthetics to numb the area completely. You might feel pressure, but you should not feel pain. If you do, use your stop signal immediately so the team can adjust.
Q: Is sedation dentistry safe?
A: Yes, when administered by a trained professional. Dr. Keefe has completed specialized training with DOCS and follows strict safety protocols. We monitor you closely throughout the entire appointment to ensure your safety and comfort.
Q: I haven’t been to the dentist in years. Will I be judged?
A: Absolutely not. Compassionate dental teams, like the one at 5 Mile Smiles, are focused on your future health, not your past history. We are simply glad you have taken the step to come in.
Q: Can I listen to my own music during the appointment?
A: Yes! We highly encourage it. Bringing your own headphones and listening to a playlist or audiobook is a fantastic way to distract yourself and stay calm.
Take Control of Your Oral Health
Learning how not to be scared at the dentist is a journey, not an overnight fix. It requires patience with yourself and the right partner in your dental care. By communicating your needs, utilizing relaxation strategies, and taking advantage of modern sedation and technology, you can break the cycle of fear.
You deserve a healthy smile without the burden of anxiety. If you are in the Spokane area and looking for a team that prioritizes your comfort, we invite you to experience the difference at 5 Mile Smiles.
Ready to conquer your dental anxiety? Contact 5 Mile Smiles today to schedule a consultation with Dr. Keefe and take the first step toward a stress-free dental experience.
