Patient's Query
Hello doctor,
I am a 18-year-old, and I need to get a filling, but I am petrified of needles, so I was wondering if there are other alternatives, such as gas and air for a filling?
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I understand your concern.
It is completely normal to feel nervous about needles, especially when you are young and facing dental treatment. For a filling, dentists usually use a local anaesthetic injection to numb the tooth, but alternatives can help you feel more comfortable. One common option is “gas and air” (also called nitrous oxide or laughing gas), which you breathe in through a small mask.
It does not replace the numbing injection, but it can make you feel much more relaxed and less aware of what is happening, so the whole experience feels easier to cope with. Dentists are used to helping anxious patients, and they will talk you through the options to find what works best for you. Sometimes numbing gels can be used before the injection to make it less noticeable, and sedation techniques like gas and air are available in many practices.
Alongside these, newer approaches are being explored to reduce the discomfort of traditional needles. Some clinics now offer the Wand system, a computer‑assisted device that delivers local anaesthetic very slowly and precisely. Because of the way it works, patients often describe it as feeling much less painful than a normal syringe, and it can make the whole process far more comfortable if you are needle‑phobic.
Research is also underway into completely needle‑free systems that use pressure to deliver anaesthetic without a needle, though these are not yet widely available. So while the standard injection remains the most common method, it is worth asking your dentist whether they provide modern alternatives like The Wand or other needle‑free options, as availability can vary between practices.
I hope this helps.
Kindly follow up if you have more concerns.
Thank you.
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Answered byDr. Akmal Albert Asham Abdelmalek
Medically reviewed byiCliniq medical review team
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