By Dr Lee Lichtenstein
For most people, a routine dental visit with local anesthesia is quick and painless—but if you’ve ever struggled to “get numb,” you know how frustrating (and nerve-wracking) it can be. Difficulty getting numb is a real and exasperating experience for many people, especially those with dental phobia or a history of negative dental encounters.
At Dr. Lee Lichtenstein’s Monmouth County NJ practice, patients who’ve struggled with local anesthesia find understanding, advanced techniques, and compassionate care.
Dr. Lee Lichtenstein is one of the extremely few dual-trained dentist anesthesiologists in the State of NJ who is Board Certified. Being a Board-Certified Anesthesiologist sets him apart from other dentists and even other sedation dentists who do not have his level of training, certification and experience. Dr Lichtenstein offers over 20 years of experience helping patients who are fearful, anxious, or resistant to numbing agents. Here are some expert-backed tips and insights for managing and overcoming this issue.
Understanding why this happens can help you and your dentist find solutions for a more comfortable experience.
Anatomy Differences
Everyone’s body—and nerve structure—is slightly different. In some people, nerves can branch or sit deeper than usual, making it harder for the anesthetic to reach the right spot. Even a small variation in nerve anatomic placement can affect how well you get numb. Some patients metabolize anesthesia differently or have conditions that make numbing less effective, leading to discomfort during treatment.
Infections and Inflammation Can Affect Numbing
If you have an abscessed tooth or gum infection, the tissue around it becomes more acidic. This acidic environment makes it harder for anesthesia to penetrate the nerves effectively. In such cases, your dentist may prescribe antibiotics before treatment or use a different approach—such as a nerve block or sedation—to ensure you’re comfortable.
Ask About Sedation Dentistry
For patients who consistently have trouble getting numb, sedation dentistry can be life changing. Options like nitrous oxide, oral sedation, or IV sedation allow you to relax deeply—or even sleep lightly—while your dentist performs your treatment.
It’s a safe, effective way to eliminate fear and discomfort, especially for those with dental anxiety, past traumatic experiences, or resistance to local anesthesia.
Choose a Dentist Who Specializes in Phobic Patients
If you’ve avoided the dentist due to failed numbing in the past, it’s essential to see someone who understands the emotional toll that experience can take. Dr. Lichtenstein’s practice was built for patients like you — those who need a different kind of care. He and his team offer a welcoming, nonjudgmental environment where your concerns are heard, and your comfort is a priority.
If you’ve ever struggled to get numb, or had a bad, painful experience at the dentist, remember—you’re not difficult, and you’re certainly not alone. Every patient’s body reacts differently to anesthetics, and with the right communication and techniques, your dental visits can be comfortable and pain-free.
Talk to Dr. Lichtenstein about your past experiences, explore sedation options, and take an active role in making your next visit stress-free. Your comfort matters—and Dr. Lichtenstein wants you to feel completely at ease in the chair. Request an appointment today.
Phone: (732) 739-3337 leemlichtenstein@gmail.com
Learn more at https://www.sleepdentistrynj.com/
