See if Sedation is Right for You

How do you usually feel about going to the dentist?

Totally relaxed

A little nervous

Very anxious

Do you ever delay or avoid dental care because of nerves or fear?

Yes

No

Do you have a strong gag reflex or trouble sitting still for treatment?

Yes

No

Do you tend to get numb easily with regular numbing medicine (shots)?

Yes

No

Not Sure

What would help you feel most comfortable during your visit?

Relaxing and stress-free care

Being able to sit through a longer appointment with ease

Feeling less sensitive to sounds, smells, or sensations

Other

Other

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