If the thought of sitting in a dental chair makes your stomach knot — if you’ve cancelled appointments, put off a toothache, or simply stopped going — you are not unusual, and you are not the problem. Dental anxiety is one of the most common reasons adults avoid care, and it usually has a perfectly understandable cause: a bad experience, a fear of needles or pain, worry about being judged for the state of your teeth, or just the feeling of not being in control.
This guide explains what a gentle dentist in Newmarket actually does in practice — not as a slogan, but as a set of concrete things a dental team can do differently, including how nitrous oxide (laughing gas) works and what it honestly can’t do. It also walks through what a first visit looks like if you’re anxious, and how the conversation changes when you simply tell us you’re nervous.
Why Dental Anxiety Is So Common (and Nothing to Be Embarrassed About)
Dental fear is studied, documented and extremely common — surveys of adult patients consistently find that a large share feel some anxiety about dental treatment, and a smaller share avoid the dentist because of it. It tends to come from a handful of sources:
- A past experience that hurt or felt rushed — one bad appointment can colour every visit after it.
- Fear of needles or of pain — for many people the injection, not the treatment, is the worst part.
- Loss of control — lying back while someone works in your mouth, unable to talk, is an unusual position to be in.
- Embarrassment — worry about being lectured about your teeth, your habits or how long it’s been.
- Sounds, smells and sensations — the drill’s noise and vibration unsettle people who are otherwise calm.
None of these make you a difficult patient. They make you a normal one. A dental team that sees anxious patients every week expects this conversation, and the rest of this guide is about what can actually be done about each of these causes.
What “Gentle Dentistry” Actually Means in Practice
“Gentle” shouldn’t be a word a clinic just prints on its website. In practice, it is a set of habits and choices you can hold any dental team to:
- You are told before anything happens. Each step is explained before it starts — what it is, what you will feel, and how long it takes — so nothing arrives as a surprise.
- You have a stop signal. Before treatment begins, you agree on a signal (usually raising a hand) that means “pause, now.” The team stops, you sit up, you take a breath, and nothing continues until you’re ready.
- Numbing is done slowly and in stages. The area is numbed with local anesthetic so treatment itself is comfortable; a numbing gel is applied to the gum first so the injection is felt as little as possible, and the anesthetic is given slowly rather than rushed.
- The pace is yours. Breaks are normal, appointments can be kept shorter, and larger treatment plans can be split into smaller visits so no single day feels overwhelming.
- No lectures, no judgment. However long it has been and whatever state your teeth are in, the job of the visit is to assess and plan — not to scold. You will hear what we find and what we recommend, in plain language.
- Help for anxiety is part of the plan, not an afterthought. For patients who want it, nitrous oxide can be part of most appointments — including checkups and cleanings, not only bigger procedures.
These habits apply across the dental services we provide in Newmarket — they aren’t a special package. They’re how anxious patients should expect to be treated everywhere in the clinic.
How Nitrous Oxide (Laughing Gas) Works — and What It Does Not Do
Nitrous oxide is a mild sedative gas, mixed with oxygen, that you breathe through a small mask over your nose during your appointment. It has been used in dentistry for well over a century precisely because it is gentle, adjustable and short-lived. Here is the honest version of how it works:
- What it feels like: within a few minutes most people feel calmer, lighter and less focused on what’s happening. You may feel a mild tingling or floaty sensation. The level can be adjusted up or down during the appointment.
- You stay awake. Nitrous oxide does not put you to sleep. You remain aware, you can hear and respond to the team, and you can use your stop signal at any point. It takes the edge off anxiety — it doesn’t remove you from the appointment.
- It does not numb your teeth. Nitrous handles the anxiety; local anesthetic handles the numbing. The two do different jobs and are often used together.
- It wears off within minutes. Once the mask comes off and you breathe oxygen, the gas clears your system quickly. Because it leaves so fast, most patients feel back to normal shortly after the appointment and can drive themselves home — the team will always check that you feel fully yourself before you leave.
- It’s the only sedation we offer — and we’ll say so plainly. At Eagle Family Dentistry, sedation means nitrous oxide. We do not offer IV sedation or general anesthesia. For the large majority of anxious patients, nitrous plus the approach described here is enough to get needed care done comfortably. If a situation ever called for more than nitrous can provide, we would tell you honestly and discuss referral options rather than oversell what we do.
- It isn’t automatic for everyone. Suitability is assessed from your medical history — for example, if you can’t breathe comfortably through your nose, have certain respiratory conditions, are in the first trimester of pregnancy, or take certain medications, the team may advise against it or adjust the plan. That’s a conversation at your visit, not a formality.

If your anxiety is specifically about having wisdom teeth removed, our guide to what to expect when wisdom teeth come out covers that appointment in detail.
Your First Visit If You’re Anxious: Step by Step
A first visit for an anxious patient should feel like a conversation with some dentistry attached — not the other way around. Here is how it typically unfolds:
Step 1 — You call, and you say the words. When you book at (905) 836-6111, tell us you’re nervous. That’s not an awkward confession; it’s useful clinical information. It goes in your file, and the team plans around it from the start.
Step 2 — You arrive to a conversation, not a chair. The visit starts by talking: what worries you, what past experiences you’ve had, what you’d like handled first. Nobody reclines your chair and starts work before you’ve agreed to the plan for the day.
Step 3 — A gentle examination. The dentist examines your teeth and gums and takes any X-rays that are needed — see what a dental exam involves for what that includes. If at any point you need a pause, you take one.
Step 4 — Findings in plain language, with a staged plan. You’ll hear what we found, what is urgent, what can wait, and what we’d suggest doing first — usually starting with the simplest, easiest appointment so you can build confidence. Nothing is booked beyond what you agree to.
Step 5 — You decide the pace. If treatment is needed, you choose how to proceed: appointment length, whether nitrous oxide is part of it, and how much is done per visit. A plan you can actually return to beats an ambitious plan you dread.
How to Tell Us You’re Nervous (and What We’ll Change Because of It)
You don’t need the perfect words. Any of these is enough: “I’m nervous.” “I haven’t been in years.” “Needles are my worst part.” “I need you to stop if I raise my hand.” Say it when you book, say it at the front desk, or say it in the chair — every one of those moments works.
Here is what changes because you said it:
- Your file notes it, so you don’t have to re-explain yourself at every visit.
- The appointment is paced differently — explanations before steps, breaks offered rather than requested, and a stop signal agreed before anything begins.
- Numbing is handled the slow way, and nitrous oxide is offered as an option to discuss — never pushed on you.
- The treatment plan is staged with your confidence in mind, easiest first, so early visits end with “that was easier than I expected.”
The one thing that does not change: the honesty of the assessment. Gentle is about how care is delivered, not about softening what your teeth need. You will always hear the full picture — delivered kindly, in an order you can act on.
When Anxiety Has Kept You Away for Years: The Catch-Up Path
If it has been five, ten or more years, you are not behind schedule — you are simply starting now, and the path back is well-worn:
- Assessment first, treatment later. The first appointment is an exam and X-rays only. Its whole job is to replace dread of the unknown with an actual list.
- Priorities, not a pile-up. Findings are sorted into “needs attention soon” (pain, infection, broken teeth), “should be planned” (cavities, gum treatment), and “watch” (things that are stable). You will not be handed one giant plan and told it’s all urgent.
- Comfort built into every step. Nitrous oxide is available for the appointments that worry you — including hygiene visits — and the stop-signal and pacing rules apply from day one.
- Momentum over perfection. Many returning patients find the second visit dramatically easier than the first, simply because the unknown is gone. Small, kept appointments rebuild the habit.
One honest note: the longer problems sit, the more there is to find — that’s exactly why the first step is information, not treatment. Whatever the list turns out to be, it gets handled in stages you choose, and almost every returning patient says the same thing afterwards: the anticipation was worse than the dentistry.
Questions to Ask Any Dentist Before You Book
Whether you choose our clinic or another one, an anxious patient is entitled to straight answers. Ask these — and judge the answers:
- “What will you do if I need you to stop mid-treatment?” You want a specific answer (a stop signal), not reassurance.
- “Can you explain each step before you do it?” A team comfortable with anxious patients will say yes without hesitation.
- “What do you offer for anxiety?” Listen for specifics. At Eagle the honest answer is nitrous oxide, plus pacing and the approach described here — not a vague promise of “sedation dentistry.”
- “Can we start with just an exam?” You should never have to commit to treatment to get an assessment.
- “Will I be judged for how long it’s been?” The right answer is a simple no.
A clinic that welcomes these questions is a clinic that sees anxious patients regularly. That, more than any slogan, is what “gentle dentist” should mean.
If you’re anxious and looking for a gentle dentist in Newmarket, the smallest possible first step is a phone call and one sentence: “I’m nervous.” Call Eagle Family Dentistry at (905) 836-6111 or contact our Newmarket clinic to book an exam-first visit — no treatment commitment, a stop signal agreed before anything starts, and nitrous oxide available if you’d like it. However long it’s been, the plan starts with listening.
References
The guidance in this article reflects Canadian dental practice and patient-education resources from the Ontario Dental Association, the Canadian Dental Association and the Royal College of Dental Surgeons of Ontario (RCDSO). Dentists in Ontario are licensed by the RCDSO, and patients can verify a dentist’s registration on the RCDSO website.
Information about Canadian Dental Care Plan coverage, including its anesthesia and sedation services, is from the Government of Canada’s Canadian Dental Care Plan pages (Canada.ca), linked in the questions below. CDCP rules can change; if anything here differs from Canada.ca, Canada.ca is correct.
Frequently Asked Questions for Anxious Patients
I'm terrified of needles — can I still get treatment?
Yes — needle fear is one of the most common forms of dental anxiety, and there are concrete ways to make the injection the easiest part of the visit. The gum is numbed first with a topical gel, so the injection itself is felt as little as possible; the anesthetic is then given slowly, which makes it more comfortable than a rushed injection. Nitrous oxide can also be started before numbing, so you're already relaxed by the time it happens. And your stop signal works during numbing too — if you need a pause, you get one. If needles are your main fear, say so when you book, and the team will plan the visit around exactly that.
Does nitrous oxide put me to sleep?
No — and that's deliberate. With nitrous oxide you stay awake the whole time: relaxed and less anxious, but aware, able to hear the team, respond, and use your stop signal. It's the lightest level of sedation, which is why it suits most anxious patients and wears off within minutes. Eagle Family Dentistry offers nitrous oxide only — we do not provide IV sedation or general anesthesia, where you would be much more deeply sedated or fully asleep. If a dentist ever recommends a deeper level for your situation, that would be arranged through referral, and we'd explain why.
Can I drive myself home after laughing gas?
In most cases, yes. Nitrous oxide leaves your system within minutes once the mask is removed and you breathe regular oxygen — that's one of its advantages over other forms of sedation, which can require an escort and hours of recovery. The team will check that you feel fully back to normal before you leave; if you don't feel right, you'll wait until you do. If anything about your medical situation changes that picture, it will be discussed with you before the appointment, not after.
Does the CDCP cover sedation?
For eligible CDCP members, nitrous oxide is listed among the plan's covered anesthesia and sedation services — see what the CDCP covers (Canada.ca). Two honest cautions: some sedation services under the plan require preauthorization, and coverage always depends on your eligibility being confirmed and on the plan's rules, including co-payments based on income — it should never be assumed to cover the full amount of a visit. Eligibility itself is decided by the federal program (you must have no access to dental insurance and meet the program's income criteria), not by the clinic. If you're a CDCP member, tell us when you book and we'll confirm how sedation fits into your coverage before any treatment begins, so there are no surprises.
What if I haven't seen a dentist in 10 years?
Then your first visit is an exam and X-rays — nothing more. Its job is to replace the unknown with a clear list: what's healthy, what needs attention soon, and what can simply be watched. From there, treatment is staged in an order you agree to, usually starting with the simplest appointment, with nitrous oxide and a stop signal available throughout. You will not be lectured about the gap, and you don't need to apologise for it — returning patients are a normal part of any family practice. The catch-up section above walks through the path in full.
Can I ask you to stop during treatment?
Yes — and you don't have to ask twice. Before treatment starts, you'll agree on a stop signal (usually raising a hand). The moment you use it, work pauses, you sit up, and nothing resumes until you say you're ready. You can use it because something hurts, because you need a breath, or for no reason at all. Knowing the signal exists is, for many anxious patients, the single thing that makes the whole appointment manageable.
Is nitrous oxide suitable for children and older adults?
Nitrous oxide has a long record of use in dentistry for both children and adults, and because it wears off within minutes it is often the first option considered for an anxious patient of any age. Suitability is still individual: it depends on the patient's medical history, current medications, and being able to breathe comfortably through the nose. That's why it's always assessed at the visit rather than promised in advance — if nitrous isn't the right fit for you or your child, the team will explain the alternatives for keeping the appointment comfortable.
Will the dentist judge me for the state of my teeth?
No. Teeth that need work are the reason dental clinics exist, and anxious patients who have stayed away for years are a normal part of a family practice — not a spectacle. At your visit you'll hear an honest assessment: what we found, what matters most, and what we'd recommend, in that order and in plain language. Honest is not the same as harsh. Our dentists, Dr. Meysam Jahanmehr and Dr. Saeed Meshksar, are general dentists who see the full range of returning patients, and the plan you'll be offered is one built to be kept — staged, paced, and explained.
