Nervous about the dentist? You don’t have to white-knuckle it.
Dental anxiety is real — and avoiding care because of it can turn small problems into bigger ones. Bethesda Dental Group offers several sedation options to help make the treatment you need feel calmer and more manageable.
You tell us what makes dental visits difficult. We’ll help find the right level of support.
Six things that can change the way we protect your smile.
Two people can brush the same way and still have very different cavity risk. Your history, saliva, diet and even the shape of your teeth can change what prevention should look like for you.
You’ve had a bad experience before
A painful or frightening dental visit in the past can make even a routine appointment feel stressful years later.
You keep putting treatment off
If you repeatedly cancel, reschedule or wait until something hurts because you’re anxious, sedation may help break that cycle.
You feel anxious before you arrive
For some patients, the worry starts days before the appointment — not when they actually sit in the chair.
Dental sights or sounds trigger you
Needles, instruments, drilling sounds or simply being reclined can make treatment difficult even when you know you’re safe.
You need a longer procedure
Sedation can help selected patients remain more relaxed and comfortable when treatment will take more time in the chair.
It’s hard to stay comfortable
A strong gag reflex, difficulty sitting still or other individual challenges can make certain dental visits more demanding.
You don’t have to “just deal with” dental anxiety to get the care you need.
Sedation helps you relax. Local anesthesia numbs the treatment area. They solve different problems — and may be used together.
Feeling relaxed and feeling numb are two different things.
Sedation dentistry is designed to help with anxiety, awareness and comfort during the experience. Local anesthesia has a different job: it numbs the treatment area so you don’t feel pain from the dental procedure itself.
Depending on your treatment, both may be used together. Being sedated does not automatically mean you’re unconscious, either. With lighter forms of sedation, you remain awake and able to respond while feeling more relaxed.
The appropriate option depends on more than how nervous you feel. Your health history, medications, the procedure being performed and the level of sedation needed all matter when deciding what is appropriate.
From taking the edge off to deeper relaxation.
Bethesda Dental Group offers different approaches so sedation can be matched to your anxiety, treatment and health needs.
Nitrous Oxide
Often called “laughing gas,” nitrous oxide is inhaled through a small nasal mask and can help you feel calmer while remaining awake and responsive. Its effects typically wear off quickly once administration stops.
- For patients who need mild help relaxing during routine or relatively straightforward dental treatment.
- For patients with more significant dental anxiety or treatment needs where mild inhaled sedation may not provide enough support.
Oral Sedation
Sedative medication taken by mouth can provide a stronger level of relaxation than nitrous oxide while allowing you to remain conscious and responsive during treatment.
IV Sedation
Medication is delivered intravenously for a deeper level of sedation. Bethesda Dental Group works with a trained anesthesiologist who monitors your vital signs and level of sedation throughout the procedure.
- or selected patients with significant anxiety or more involved treatment when a deeper, closely monitored level of sedation is appropriate.
First we understand the anxiety. Then we plan around it.
- Tell us what makes visits difficult
We talk about your anxiety, previous dental experiences, health history, medications and the treatment you need before recommending a sedation approach.
- Choose the appropriate level
We explain the option being recommended, what you can expect to feel and any instructions you need to follow before arriving for treatment.
- Relax while we monitor you
During your visit, your comfort and safety are monitored according to the type of sedation being used, and we’ll explain what you need for recovery afterward.
200 reasons to choose us.
We don't ask you to trust us. We let our patients do the talking.
I hadn’t been to the dentist in longer than I wanted to admit, so I was expecting a lecture. Instead, the whole visit felt easy. My cleaning was gentle, everything was explained clearly, and I left knowing exactly what to keep an eye on and when to come back.
Melissa R.
Teeth Cleaning & Exam
Bethesda, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
I had a small chip on my front tooth that bothered me in every photo. I expected a much bigger treatment, but bonding was enough. The shade matches beautifully and the tooth still looks completely natural.
Laura M.
Cosmetic Dental Bonding
Bethesda, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
I drink coffee every day and felt like my teeth had gradually become much darker than they used to be. I wanted them brighter, but I definitely didn’t want that artificial super-white look. They helped me choose a shade that still looked like me, and the difference was exactly what I wanted. My smile looks fresher without looking “done.”
Emily S.
Professional Teeth Whitening
Bethesda, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
I avoided the dentist for years because of a terrible experience when I was younger. By the time I finally booked, I was embarrassed about both my teeth and how anxious I was. Nobody made me feel judged. They talked through the sedation options with me beforehand, explained exactly what to expect and made the appointment feel completely manageable. It was the first time I left a dental office thinking, “I can actually do this again.”
Lauren D.
Sedation Dentistry
Kensington, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
I used to think preventive dentistry just meant getting my teeth cleaned and coming back six months later. They actually took the time to explain why I kept getting cavities in the same areas and helped me change a few things at home. We also added extra protection to a couple of teeth that needed it. My visits feel much more proactive now instead of waiting for the next problem.
Nicole B.
Preventive Dentistry
Kensington, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
I had been dealing with jaw soreness and painful clicking for months and wasn’t even sure whether I should see a dentist about it. The appointment was very thorough. They asked when the pain happened, checked how my jaw was moving and explained the difference between the joint and the surrounding muscles. I appreciated that the plan felt conservative and specific to what I was actually experiencing.
Sarah L.
TMJ Evaluation & Treatment
Chevy Chase, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
I had already been diagnosed with sleep apnea but struggled with my CPAP enough that I wasn’t using it consistently. I talked with my sleep doctor about alternatives and then came to Bethesda Dental Group for an oral appliance. The fitting process was easy, the adjustments were explained clearly, and traveling is much simpler now. My wife is also very happy that the snoring has improved.
James R.
Sleep Apnea Oral Appliance Therapy
Bethesda, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
I had a badly broken molar and kept putting the appointment off because I was nervous about having it removed. They showed me why the tooth couldn’t really be saved, talked me through everything before starting, and the actual extraction was much more manageable than I had built it up to be. I also appreciated that we talked about what to do with the space afterward instead of just stopping there.
Rachel P.
Tooth Extraction
Bethesda, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
I went in with a toothache that had kept me up the night before and was honestly dreading hearing “root canal.” The team explained exactly what they were seeing and what would happen next. Once I was numb, the appointment was much easier than I expected, and the relief afterward made me wish I had come in sooner.
Michael T.
Root Canal Treatment
Bethesda, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
I chipped an old filling and was convinced it was going to turn into a much bigger procedure. Dr. Shawn showed me exactly what was happening, explained my options clearly, and repaired the tooth without making the visit stressful. My bite feels completely normal again, and the new filling blends in so well I can barely see it.
Daniel M
Composite Filling Replacement
Bethesda, MD
5.0 ★ · Over 200 reviews on Google · Read all reviews →
If anxiety has delayed your care, cost doesn’t have to delay it again.
We accept most PPO insurance plans, and Cherry, Sunbit, Proceed and Care Credit financing is available for eligible dental treatment with no hard credit check · approval in seconds · and plans from 3 to 24 months. Our team can also explain how sedation-related costs apply to your specific treatment plan.
You’re allowed to be nervous.You’re also allowed to ask for help.
Whether you’ve avoided the dentist for years or simply need more support getting through your next procedure, tell us what worries you. We’ll help make a plan that feels manageable.
