What is the biggest problem for people who suffer from the disease Dental Phobia?

Since about 2001 we know that by far the biggest problem for dental phobics is the affected quality of life!
Some feel that they do not want to continue living like this!

Fairness and Dental Phobia-patients?

Dental phobics react extremely sensitive, if fairness norms are violated. Fairness is obviously a central requirement for dental phobics.

Does Dental Phobia have to do with pain sensitivity?

No - many have no pain at all.
Many patients can tolerate pain easily.

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Anxiety - what is it?

Among other things, the power of concentration deteriorates and control is lost more or less. The pulse rate increases, for example. As a consequence to the increased pulse rate the following reactions can be expected:

  • From pulse 145 per minute the motor skills subtlety reduces.
  • From pulse 170 per minute the tunnel vision phenomenon starts. The perception is superficial and you hear less.
  • From pulse 180 per minute it is like hell. The rational thinking ability decreases significantly, the control of bowel and blister is lost and behaviours such as freezing, trying to escape or submission become apparent.

Dental Phobia

The dental phobic is a person with a disease.
He needs a specialist for Dental Phobia.
Dentists are not trained to deal with the disease "Dental Phobia"

How many people suffer from Dental Phobia?

It is estimated that approximately 10% of the world-wide population is affected.

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Is Dental Phobia measureable?

We would like to faultlessly diagnose Dental Phobia. But no scientifically precise diagnostic method exists down to the present day. There is just the HAF-test. The one who reaches more than 38 HAF-points suffers from dental phobia. However, many patients have problems with this test. It is not very good!

Current popular method to distinguish fear of the dentist from Dental Phobia

There is the HAF-test. We use this test because there is no alternative. Patients often say that they would indicate a different value depending on the situation. This means that the test does not comply with modern scientific methods. But there is just nothing better.

Why is it currently not possible to diagnose Dental Phobia scientifically accurately

The reason is certainly the low quality of the researchers who are active in this field!

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How is a phobia recognized?

When you fill out the phobia test on the page Phobia Self-Test you can determine your personal phobia HAF value.

If the value is above 38 points you suffer from the disease fear of visiting the dentist ICD 10 F40.2.This disease is a recognized phobia disorder.

If the value is below 38 points it is the normal fear of dentists.

Does dentist phobia have to do with fear?

Fear is no disease! Fear makes sense.

A phobia is a disease. The causes of dental phobia are not exactly known.

Dental phobia has certainly something to do with bad experiences in connection with dentists, and possibly also with the problem of malocclusion. Most likely dental phobia has something to do with a lack of fairness of dentists, most likely with a lack of competence of dentists, as well.

Are there any checklists?

By means of the phobia-HAF-test on Phobia Self-Test you can determine your personal phobia value. You can thus measure whether you suffer from dental phobia or just experience normal dental anxiety.

You can fill out the Quality of Life Test at www.deutsche-dental-fear-clinic.de. You can check to what extent the fear of dentists affects your quality of life. This test was developed in cooperation with affected patients.

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Statistical facts about patients with Dental Phobia

10% of the world population suffers from Dental Phobia.  Most are unaware of the existence of this disease. They think they are the only ones who cannot go to the dentist.

Results of an analysis of filled Phobia Self-Test(PST) on our website

  • 91% of the PSTs received by us feature more than 38 HAF points. Consequently, 91% are real sick, suffering from the disease
  • 59% of the PSTs with more than 38 points are in the age group 25-45.
  • With PSTs with more than 38 HAF points women are always the majority, proportionally.
  • In the age group 45-55 50% are women, 11% men and 38% did not indicate their gender. Surprisingly, many in this age group do not want to inform about their gender.
  • The older the one filling out the PST, the rarer is the indication of the gender.

Are sedatives the most important criteria when treating Dental Phobia-patients? ?

Sedative are useful when dealing with dental fear
Sedatives are useless when dealing with Dental Phobia.

What is KALINOX?

KALINOX is suitable for short-duration dental interventions with children(5-20 minutes), it is not suitable for longer lasting dental treatments with adults.

KALINOX is an inhaled gas that consists of nitrous oxide (50%) and oxygen (50%). It is a fixed gas combination.

After inhalation via mask for 2-3 minutes it has a soothing effect and is lightly pain-relieving and anxiolytic.

If you take off the mask from the patient’s face the effect stops immediately.

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Is sedation the most important criteria when treating Dental Phobiapatients?

Sedation poses risks difficult to control.

The dental treatment under sedation in case of extensive dental damage is an ordeal for the patient, dentist an anaesthesiologist alike.

What distinguishes the specialist for Dental Phobia?

Emotional Intelligence
Communication skills
Ability to cooperate

Is every dentist able to treat dental phobic patients under anaesthesia?

You must have gathered broad dental knowledge and extensive experiences in this special field.

Another important requirement is the physical stamina of the therapist. The dentist must be working at a patient up to 7 hours without interruption and without loosing the power of concentration.

The dentist needs a capability for precise, prudent, disciplined and proactive treatment planning. The patient may not be manoeuvred in risky situations.

The dentist for dental phobics needs extensive knowledge for the indication of general anaesthesia and the various alternatives, respectively.

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How many real experts for Dental Phobia are there?

In Germany, 5-6 known
In Austria - none known
In Switzerland - none known
In France - none known
In the Benelux countries - none known
In Spain - none know
Italy - none known
In the U.S. - 1 known

Do Dental Phobia patients really need experts?

Quote from Clin. Oral. Investig. Mar.10(1):84-91. Epub Feb 14

"To satisfy the needs of the phobic patients, it appears necessary to screen the phobics out of the group of all patients and then offer them adequate therapy, or refer these patients to specialized treatment centres."

The Gentle Dental Office® Group disposes of about 30 specialized treatment centres in Europe. All of them work according to 3TT-OLA-ITN®.

Why not medical tourism to Hungary?

At Gentle Dental Office® Group, we have already seen several patients who travelled as normal patients for treatment to Hungary and returned as phobia patients.

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The sayings and methods of pseudo Dental Phobia specialists! There is one in each village - at least!

we do it under anaesthesia"
"we do it with laughing gas"
"we do it under sedation"
"specialized in dental phobia"
"For many years we have been treating dental phobia patients, already."
"We do it with hypnosis"
wave therapy
relaxation music

What is a Dental Phobia a specialist?

A specialist deals with one single problem almost exclusively.

After several years, the specialist has an unusually differentiated treasure trove of experience.

In fact, there are probably only 5-6 real Dental Phobia specialists in Germany - in other countries, there are a lot less - if at all.

Is every dentist able to treat Dental Phobia patients?

No! Not every dentist is a specialist for dental anxiety patients and even less for Dental Phobia patients.

The Dental Phobia patient makes extremely high demands on the dentist. He needs a highly sophisticated level of dentistry concerning planning and implementation of all areas of dentistry. Another mandatory requirement is the organizational integration in general anesthesia.

It is extremely important to perfectly integrate a specific conversation technique.

Of course it is necessary to know the psychological mechanisms of fear and phobia of the dental phobic patients.

Any dentist who treats Dental Phobia patients without proper knowledge must keep in mind that he could be accused for organization fault.

Dealing unprofessionally with Dental Phobia deteriorates the patient’s quality of life further. Unprofessional treatment of dental phobics forcefully squeezes them deeper into the dead end of this disease.

As follows, please read about an example of incompetence in dentistry in terms of Dental Phobia:

“When the dentist lamp was shining flashy into his face, he started sweating. He cramped at the treatment chair, was shivering and refused to open his mouth. When the doctor asked him, if he was afraid, he got angry and sallied out of the room.”
Source: Süddeutsche Zeitung Wednesday, 6 April 2011 / Page 1

This occurrence hits rock bottom of the empathic skills of the dentist when asking the patient "if he was scared” while he was in the middle of a phobic reaction.

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What differentiates the dentists of Gentle Dental Office® Group from others?

Dentists of Gentle Dental Office® know and respect the most important problems of dental phobics:

  •     shame
  •     impaired Quality of Life
  •     fear of humiliation

Dentists of Gentle Dental Office® work in accordance with the DIRECTIVES of the highly successful ThreeAppointmentTherapy.
Dentists of Gentle Dental Office® are not starting the treatment immediately after only a short assessment.
Dentists of Gentle Dental Office® give reasons for each step of the assessment and treatment planning.
Dentists of Gentle Dental Office® develop decision aids so that the patient can independently choose among several treatment options.
Dentists of Gentle Dental Office® embed the facts into a special communication technique for dental phobic patients.
Dentists of Gentle Dental Office® strive for short, concise, comprehensible and trustworthy sentences.

What does Dr. Leu never say?

"For God’s sake, who did THIS work?"
"Why did you not come sooner?"
"If you are neglecting your teeth by not brushing them, it’s no wonder ... .“

What do almost all dentists tell problematic patients?

"For God’s sake, who did THIS work?"
"If you had come sooner, you would not look like this today."
"We do not need any narcosis, we’ll manage it without ...." 

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Who and what plays nationally and internationally an important role in the treatment of Dental Phobia?

German Society of Dental Phobia® e.V. (DGZP)
Gentle Dental Office® Group

What is 3TT-OLA-ITN®

The treatment technique of the ThreeAppointmentTherapy under general anaesthesia or 3TT-OLA-ITN® smoothens and integrates the craggy and complex transitions between the problems of patients and the various anaesthetic, dental, psychotherapeutic and technical treatment methods.
The most advanced techniques known today (regarding anaesthesia, dentistry, dental technique, people management and communication skills) were assembled into a comprehensive problem-oriented treatment technology: 3TT-OLA-ITN®.

Comparison between 3TT-OLA-ITN® and the Peu-à-Peu-methodology of other real specialists:

The seemingly utopian and predictable treatment success with 3TT-OLA-ITN® is brought about by a team of dentists and anaesthesiologists. After PRE-T1 and T1 the dental phobia patients undergo an extensive rehabilitation treatment in one single session under general anaesthesia (T2). Until having passed the third appointment (T3) the patient recovers his quality of life, he can laugh, bite and eat again.

Another bonus: The patient has practically no pain or swelling even after 7 hours of general anaesthesia. The course of the individual treatment measures is governed by the so-called DIRECTIVES.

The Peu-à-Peu-methodology / salami-tactic of the other real specialists means that the patient must put up with several laborious treatment sections of dental medicine and psychotherapy in sequence.

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What patients say about the ThreeAppointmentTherapy?

 "Too good to be true"

Do Health Insurances reimburse the costs for the ThreeAppointmentTherapy?

No! The outdated statutory health insurance system is not compatible with the ThreeAppointmentTherapy. The measurements which are necessary for the ThreeAppointmentTherapy are not found in the insurance funds standards as contracted by the dentists.

I have a “complimentary dental insurance". Is this of any benefit to me?

Most of the complementary dental insurances only pay in addition if the statutory health insurance has already paid in advance. As statutory health insurances do not pay for the ThreeAppointmentTherapy the complimentary insurances do pay nothing, as well.

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Since this is a private treatment, is there the possibility of tax deduction?

Yes, you can deduct the medical expenses for tax purposes. 

What is the cost of the ThreeAppointmentTherapy ?

Several thousand statutory insured patients have already been able to afford the ThreeAppointmentTherapy so far. 99% of them are not millionaires.

For more detailed information, please contact our staff at the counselling office in . They can be reached at .

How long does a dentist of Gentle Dental Office® Group need for a basic dental rehabilitation under general anaesthesia?

5 to 7 hours!

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Results of a survey asking 236 anaesthesiologists about the duration of anaesthesia in dentistry:

up to one hour       160     Anaesthesiologists
up to two hours       69     Anaesthesiologists
more than 3 hours     5     Anaesthesiologists
no data                      2     Anaesthesiologists

This means that only a very small number of dentists together with anaesthesiologists undertake extensive rehabilitations which take more than three hours of general anaesthesia. Only the dentists of Gentle Dental Office® Group do so by using the OLA-ITN® method.. This is the only way to guarantee that even after a treatment of 7 hours duration the patient is not plagued by pain or swelling. We know that this appears to be utopian. However, this is a fact and has been witnessed by numerous television documentaries about the 3TT-OLA-ITN® throughout the past years.

Is it possible to remove wisdom teeth by means of this treatment?

Yes, wisdom teeth can be extracted in the course of the treatment under general anaesthesia.

Is it possible to further specify this very anaesthetic procedure?

After the narcosis, the patient does not need to expect toothache or pain due to the wounds. He does not need to expect swellings, neither. Anyone has the possibility to be informed about it by means of the many TV documentaries.

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Positive characteristics of the most modern form of general anaesthesia as practiced by Gentle Dental Office® Group are:

Up to 7 hours of treatment are possible under narcosis!

In almost all cases the desired treatment measures, even if very extensive, can be carried out within 7 hours.

Absolutely safe and complete elimination of pain during the dental treatment.

Narcosis is possible as OLA-ITN® So the following benefits of OLA-ITN® are possible:

  • very low risk of postoperative pain.
  • very low risk of postoperative swellings.

Narcosis is always employed by the anaesthesiologist or an anaesthetist team. The dentist can concentrate on his duties. The anaesthesiologist will focus on the vital signs of the patients. Following these guidelines, treatment durations of up to seven hours are possible. Normally, after a short recovery period the patient can return home.

Only very well-trained anaesthesiologists are allowed to work for Gentle Dental Office® Group. They operate according to principles that originate from the leading European centre for medical research and clinic - namely, LMU-Grosshadern-Munich.

ll the anaesthesiologists of Gentle Dental Office® Group have extensive experience in this special field of dental restoration under narcosis.

All anaesthesiologists of Gentle Dental Office® Group practice a very successful pain management already during the narcosis. Therefore there is almost no pain or swelling afterwards. Almost never pain killers are necessary.

What distinguishes the ThreeAppointmentTherapy from the basic rehabilitation of the association of SHI physicians / statutory health insurances?

Predictable basic sanitation

Predictable outcomes

Comprehensive and, if wished, anonymous provision of information for patients who have never before set foot into a practice of Gentle Dental Office® Group

Very high chance to be freed from dental phobia already at the third appointment and to be able to visit a normal dentist later.

Restoration of the Quality of Life

Focus / "First listen then heal"

Primary care physicians do not recognize every other psychosomatic illness, because they do not take time for their patients. This was discovered by scientists at the University of Dusseldorf. According to their research, a consultation only takes 7.3 minutes. Thereby the doctor speaks 4.2 minutes. The researchers blame the degree in medicine for the unwillingness of listening: science always counts more than psychology.

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How many dentists are there who have an academic training in psychology and dentistry?

Two! According to our information there are only two dentists in Germany who have also passed an academic psychotherapeutic training. At university dentists do not learn to deal with dental phobia patients. 

What is quality in medicine and what does the German Society for Dental Phobia want to achieve?

There are many different models of quality management in medicine. This is not the case in dentistry when it comes to the treatment of dental phobia patients.

The German Society for Dental Phobia parallels in its mindset concerning dental phobia with the one of Dr. Axel Munte regarding endoscopy. This is what he said, quoted by the German newspaper “Süddeutsche Zeitung”: "What do you think how a patient can find out, whether his doctor meets these quality standards?"

Dr. Axel Munte - KVB-chief:

"We want to ensure that only highly qualified specialists are employed. A prerequisite for the admission of endoscopists is 200 examinations per year [...] The patient should immediately consult an intestine cancer specialist centre, definitely not a small county hospital.”
(Quality standards of Medicine, SZ No. 69 / page 47)

Applied to the German Society of Dental Phobia® e.V. this means that dental phobics should not go to the "dentist around the corner" but directly to www.gentledentaloffice.com.

Important medical consultations within 8 minutes?

The conversation with the patient is the most important pillar of the professional work of doctors!

The British Medical Journal (Vol. 325, p. 472) and the GEK-physician report of 2010 show that a consultation in German practices does not even take 8 minutes, in hospitals only 4 minutes and with relatives just 20 seconds
("BMC Health Services Research”, doi: 10.1186/1472-6963-10-94)

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Dialogue and time

The time spent with the patient is viewed by cynics as unprofitable luxury, especially since the doctors can charge minimal fees only.

Patients feel the duration of a dialogue to be too short when their emotional needs and questions are given too little consideration. 

Dialogue and competence

More important than the duration of the dialogue is its quality and the necessary communication competence.

PRE-T1 and T1 of Gentle Dental Office® Group are unique in the world

Only Gentle Dental Office® Group offers unlimited professional advice for dental phobia patients (PRE-T1).

The PRE-T1-consultation carried out by the Herold-team is anonymous and free of charge.

Ms Herold, a former dental phobia patient and professional teacher, is training our staff inasmuch as the demanding PRE-T1 discussions are concerned.

Only Gentle Dental Office® Group offers PRE-T1 followed by T1.

T1 - the first appointment - is a conversation between Dr. Michael Leu - the "Pope" of dental phobia - and the dental phobia patient. The dental phobic expects to be convinced of the fairness and competence of Dr. Leu.

There are two different types of T1 (75 minutes and 105 minutes).

According to the diagnose, the desired treatment and the financial possibilities each dental phobic can choose from three price categories. The goal of each category is to enable the patient to smile, bite and eat again and that to give the diseased tissue ample opportunity to heal off, respectively.

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How to get an appointment

You can get an appointment for a consultation with Dr. Leu (T1) by calling our office staff in Leipzig. They will offer you to arrange the appointment in any of our clinic locations of your preference. Phone: +49 (0) 34 298 48 99 11.

You will also have the opportunity to speak with our former patient Andrea Herold. Phone:  +49 (0) 34 298 48 99 10.
If you wish to remain anonymous, you can ask for an appointment by e-mail (info@GentleDentalOffice.com) or fill out the online contact form.

What happens at the first appointment?

The first appointment (T1) is really a pure consultation appointment. You do not sit in a treatment chair but in a 90 degree angle to Dr. Leu. Dr. Leu is informing you first of all about some relevant points. He will ask you about your HAF score. Depending on the HAF score, he will explain you that he is already aware of how bad you are doing in that very moment. He will explain to you the story of a funny Viennese patient who taught him what actually constitutes the biggest problem of dental phobic patients. He will ask you a few questions and answer your questions.

Then he looks at your teeth – provided you allow it. But even then you are not sitting in a treatment chair and Dr. Leu does not use any instruments. It is you yourself who holds your lips slightly apart by means of two mouth mirrors and Dr. Leu takes a few photos with his digital camera. In addition, a radiograph is taken. Based on the the X-ray image and the photos Dr. Leu explains to you instantly, what has to be necessarily done and what treatment options there are within your financial framework in order to be able to laugh, eat and bite again until the third appointment.

He explains the individual steps of narcosis (T2) to you, its potential risks, etc. ... .

What happens if I have to weep at the appointment?

Nothing happens and weeping is no bad thing. You will notice very quickly that Dr. Leu is not going to do anything you do not want him to do and that he can deal easily with your fears and tears.

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How long does the first (T1), second (T2) and third appointment (T3) take?

The first appointment lasts 75 minutes or 105 minutes.
The second appointment will take - depending on the treatment needs and the treatment plan - three to seven hours.
In most cases the third appointment is carried out without anaesthesia (which is no longer necessary) and takes about 90 minutes.

Where are the practices of Gentle Dental Office® Group?

In the late 90s, when Dr. Leu had begun with the treatment of dental phobic patients, there was only the dental phobia practice in Munich and this is where patients from all over Germany and Austria flocked to.

Today, for the advantage of our patients, we offer the treatment all over Germany and Europe. Thereby we cooperate with handpicked dentists and their practices. These dentists make their premises available and they are keen to learn about the problem of dental phobia at the same time and to perhaps start a practical training (of at least 1500 hours). For the treatment of our dental phobia patients our specialized dentists arrive at the various locations!

Consequently, the first consultation appointment, including the patient’s diagnosis and treatment planning, is always carried out by Dr. Leu himself – whether in Munich, Hamburg, Rome, Zurich, Paris or London. For the dental treatment under general anaesthesia our dentists, dental assistants and anaesthesiologist arrive as a team and attend to our phobic patients, exclusively.

In England, we work in practices at the following cities: Aberdeen, Birmingham, Blackburn, Dubai, Dublin, Kopenhagen, London, Oxford.

How much time passes between the initial consultation and the surgery?

A consultation with Dr. Leu is possible once a month at each site. Just one day later you receive a detailed treatment plan and cost estimate. Now the surgery can be scheduled at the date and time of your preference. Some patients go for the appointment under narcosis already three days after receiving the treatment plan. Others prefer to have it done two months later. We know that most patients want a quick realization and we are prepared for it. 

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Do you also fit in dental implants?

When it comes to dental replacement ever more patients go for dental implants.

By means of the 3TT-OLA-ITN® technology a treatment under general anaesthesia and the provision of immediate dental implants is possible. Of course, immediate implants are dependent on the findings of the patient – particularly in relation to the jaw bone.

In case of dental implantations under general anaesthesia, we collaborate with the best implant specialists in Germany and Europe (see FOCUS - LIST of the best German implantologists).

Who do I contact if there are complications afterwards?

Prior to the operation you are handed an emergency telephone number which is manned 24/7.

Additionally, our employees are at your entire disposition from Monday to Friday 9am to 6pm. In case of discomfort after the treatment or in case the dentures do not fit perfectly, you can call our consultants and describe your problem. We will assist you with whatever problem.

Dr. Leu is always available - but nobody calls him. After 3TT-OLA-ITN® there are no problems!

Is it possible that significant additional costs come up after the treatment?

No. From the very beginning you decide about the financial framework of your treatment. After receiving your cost estimate you definitely know about your treatment measurements and its precise costs. A deviation from the treatment plan may occur in exceptional cases. However, these deviations are of rather smaller scale and have no impact on the costs.

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Can children be treated, as well?

No. Our practice specializes in the treatment of adult phobic patients. General anaesthesia for children should only be carried out by special anaesthesiologists who have gathered extensive experience in the field of children’s anaesthesia.

Will I be provided with temporary dental prosthetics between the second and third appointment or will I need to walk about without teeth?

In the case of most of our patients many teeth have to be removed. Almost always it is possible to prepare a provisional dental replacement for the front tooth section on site in the practice.  No temporary dental prosthetics are usually possible in the posterior region. You can at least keep up with everyday life by means of the provision in the front section.
In case all the teeth must be removed, in some practices there is the possibility of immediate dental provisions by means of the “Berlin model”. For further information please take advantage of a phone consultation.

Is narcosis the last resort?

Such ideas of narcosis-opponents are shenanigans in order to commit patients to oneself. There is a clear indication for the treatment under narcosis with patients who approach us.

In any case, all of our patients are treated within the ThreeAppointmentTherapy ( 3TT-OLA-ITN® ) under general anaesthesia. For us narcosis has long been a permanent part of our dental professional life.

Modern narcoses mean extremely safe high tech.
They protect the patient the best way possible.
They are extremely fast controllable.
They are calculable and predictable.
They are superior to all other anaesthesia techniques (hypnosis, sedation, ...).

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Should applying anaesthesia remain an exception?

If narcosis is indicated, it is usually the only way to help a patient out of massive dental and phobic problems in the short term.

After the treatment within the ThreeAppointmentTherapy ( 3TT-OLA-ITN® ) no further dental narcosis is necessary. Thereafter, most patients visit the dentist at their place of residence for preservative measures and aftercare. No further narcosis is necessary anymore!

Is there the risk of waking up during the intubation narcosis?

Dr. Klaus RACHFAHL (chief anaesthesiologist of the Gentle Dental Office® Group and member of the German Society of Dental Phobia):

Regularly, our patients disclose their fear to wake up during anaesthesia. I can promise my patients that they are not going to wake up during the narcosis, for sure.

The reason:

  • I do not use a muscle relaxant,
  • neither for intubation
  • nor for the consecutive narcosis.
  • Therefore, if the narcosis would not be deep enough, the patient would be able to move his limbs! The possibility to move arises long before the patient returns to consciousness. Consequently, the patient can move without realizing it. A movement of the patient does inevitably never remain unnoticed to the dental and narcosis team. And there is still another safety factor in connection with my anaesthetic technique. The respiratory muscles always remain active during my narcosis technique! So you can breathe on your own throughout the narcosis.

Is general anaesthesia dangerous?

Of course, general anaesthesia is always a major surgical procedure. However, nowadays anaesthesiologists are able to reduce the risks involved to a minimum.

The very modern TIVA-narcosis procedure employed by us allows for optimal dosage of the medication. The patient falls asleep very quickly after inducing the narcosis and is awakening very quickly again, afterwards. Unpleasant side effects such as nausea or vomiting during the recovery phase do almost not occur.

In advance, in a detailed preliminary discussion by phone the attending anaesthesiologist clarifies all major issues in connection with anaesthesia with the patient. With the help of the patient’s indications concerning current illnesses, medication or weight problems, the anaesthesiologist thoroughly weighs up potential problems in advance. If necessary, the patient is sent to a primary care doctor for screening prior to the treatment under general anaesthesia. This is where the patient is examined via ECG and blood count in order to assess his suitability for general anaesthesia. In the course of this telephone conversation, the patient has the opportunity to ask the anaesthesiologist personally about all topic related issues.

On the treatment day, the anaesthesiologist is caringly providing for the wellbeing of our patients. Encouraging words are accompanied by an efficient workflow in order to keep patients away from unnecessary stress. Patients who suffer from an injection phobia in addition to dental phobia are offered alternative ways to induce the anaesthesia.

Of course, throughout the surgery the anaesthesiologist is constantly at the patient’s side to monitor the vital signs.
After the treatment – during the recovery phase and the stabilization of the circulation – the anaesthesiologist remains with the patient until he is able to leave the practice with a companion. If no accompanying person should be with the patient, the patient is accompanied by our anaesthesiologist to his hotel.

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What is malocclusion?

Malocclusion is a simplistic term for complex, functionally related tooth, jaw joint and muscle disorders. This should signal that the system of teeth, jaw, jaw joints, etc. is not harmoniously coherent. Greatly simplified the maxillary-mandibular jaw joint function can be compared to the functional unit of door frame and door hinges. If the door can be closed only by force, damage at the concerned units is necessarily involved.

For detailed information, please see the button "Scientific Facts".

Obviously not only the monstrous experiences with dentists cause dental phobia. Possibly this problem called malocclusion has aetiologically to do with dental phobia. Dental Phobia documented many patient cases. Almost without exception, these patients have a severe form of malocclusion / wrong bite (as if a clock was equipped with a wrong gear!). The astonishing thing is that many patients went through an orthodontic treatment and still suffer from severe malocclusion. This does not speak in favour of the practitioner’s capability.

Normally, severe malocclusion is only diagnosed in one in ten patients. Malocclusion is a problem very few dentists are concerned with. They do not diagnose malocclusion. The high rate of malocclusion should encourage scientists and neurobiologists to investigate this observation. This might lead to a very interesting approach towards a completely new perspective on the possible origin and the therapy of dental phobia, respectively.

How can malocclusion be explained?

It is comparable with a complicated lock-and-key-system. The key poorly fits into the keyhole and cannot really be rotated. The chewing muscles, however, employ a tremendous force and can use the "key" anyway - with violence it is forced into the keyhole and turned around, respectively.

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Do Dentists know the wrong bite ?

Rarely! Dentists are familiar with the tooth - but very rarely with the very complicated mastication system.

Stress - what is it?

Besides other factors, the hormone CORTISOL plays a role. In case of stress, its production is augmented by the adrenal gland. Thus, the thinking ability and the power of concentration are boosted.

Are there genes that modulate the psychological capability of resistance?

In any case there is considerable variation from one person to another. Traumatic experiences lead to severe mental disorders with some people while there are no consequences with others. There are genetic types associated with increased and decreased mental capacity, respectively. Especially grave consequences come along with devastating experiences during the first years of life.

Are there any explanations why some mutations are occurring in males primarily?

Unlike women, men dispose of one copy of the X chromosome only. Emerging mutations can not be replaced by the intact gene from the second X chromosome.

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