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A KEY QUESTION
The plan should cover both the difficult task and what happens if it cannot be completed.
Explain the difficult part
An impression tray, X-ray sensor, suction or work near the back of the mouth may be the problem. Describe what happened at previous appointments and whether it prevented care.
When booking, request time to discuss this. If travelling, resolve the assessment arrangements before relying on a tightly packed treatment schedule.
Bring a short history
Note which positions or objects you struggle with, previous successful approaches and any worry about vomiting. Mention relevant health information, including anything affecting comfortable breathing through your nose.
The dentist needs this practical history, not a self-diagnosis about whether the cause is physical or anxiety-related.
Agree how to pause
Choose a signal that works while your mouth is occupied, such as raising a hand, and establish how the team will respond safely. Discuss breaks, pace and whether explanations before each step help you.
If you prefer less procedural detail, say so. A familiarisation discussion may be more useful than repeated attempts at a task you cannot tolerate.

Discuss suitable adaptations
Positioning, the sequence of examination or equipment may be worth discussing. For impressions or images, find out whether another method would provide the information needed.
A digital scan is not a guaranteed solution and does not replace every X-ray or examination. The clinician needs to establish which essential records can be obtained before extensive treatment is planned.
When further support could help
Guy’s and St Thomas’ includes persistent gagging among concerns supported by dental psychology. Your dentist can consider whether psychological support, special care dentistry or another local referral is appropriate. Availability and referral criteria vary.
Sedation requires assessment, consent and practical arrangements. It is different from local anaesthetic and does not guarantee completion. Do not self-medicate with sedatives or numbing sprays, or force desensitisation exercises without professional advice.
Make the next visit realistic
Keep a note of the task planned, agreed adaptations and what happens if more support is needed. Additional visits or referral may affect costs and travel.
Best Smile Turkey can pass on concerns and coordinate enquiries. The treating team decides the clinical approach and should record your preferences. A method that helped once is useful information, not a guarantee.
Read the related guidance
Keep the wider treatment plan in view while comparing these options.
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About this information
Published by Best Smile Turkey, a health-tourism intermediary. Your treating dentist is responsible for assessment, treatment and care.
Use this information to prepare questions for your dentist. An examination is needed to advise on treatment. Photographs, models and previews cannot establish suitability or predict results.
Source checking is not a clinical review. How we use sources and images, or how to report a correction.
Sources and further reading
- NHS: what happens when you visit a dentist Sharing concerns, assessment and discussing the treatment plan.
- Guy’s and St Thomas’ NHS: dental psychology Dental psychology support includes persistent gagging as well as dental anxiety.
- Guy’s and St Thomas’ NHS: sedation options for dental treatment Assessment, alternatives and the distinction between sedation and local anaesthesia.
- NHS: dental treatments explained An overview of crowns, bridges, veneers, implants and other options.
- General Dental Council: going abroad for dental treatment Questions to ask about the treating provider, follow-up arrangements and concerns.
These resources offer general guidance; their publishers do not endorse Best Smile Turkey or the treating provider. Manufacturer links identify products or records, not independently compared outcomes. NHS funding information concerns UK care, not treatment costs in Turkey.
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