Fear of the dentist is extremely common, often based on previous difficult experiences and leads to around 30% of people avoiding treatment.

Fortunately modern local anaesthetics mean that dental treatment may be carried out painlessly and in comfort. We acknowledge that many patients remain anxious about treatment and will always take the time to discuss any concerns you may have.

Sedation is an excellent way of dealing with dental anxiety and phobia. It is also a very useful technique to help when treatment may be difficult or require a lengthy appointment such as implant placement or wisdom tooth removal. At our practice, sedation is provided by Ralph Pickup, Mark Edmondson, Jonathan Kennair, Colin Johnston and Gary Cousin. If you have been referred for treatment under sedation or are interested in knowing more, some information about the procedure is provided below.

Before your treatment

An assessment appointment is normallyarranged before any treatment is carried out. This allows us to discuss any anxieties you may have and assess your suitability for sedation. A thorough medical evaluation is carried out and you will be provided with a written treatment plan and estimate of costs.

Dental treatment under sedation

We use a drug called midazolam. This is given by gradual injection into the back of the hand until you are sufficiently relaxed to allow treatment. You will feel very relaxed and largely unaware of the dental procedure.

Your gums and teeth are numbed once you are sedated so that treatment is painless. Although you  remain conscious and able to talk and respond during sedation, most patients remember very little  about their treatment.

After treatment

You will need to remain at the practice for at least an hour after being given sedation. A suitable escort must attend with you and accompany you home by car or taxi. You must be looked after for 24 hours by a responsible adult.

Dr Ralph Pickup

Dr Pickup qualified in 1997 and worked in hospital and general practice in Newcastle before joining the practice in 2002. He became a partner in 2006. His areas of special interests are endodontics (root canal  treatment) and conscious sedation to manage

Dr Mark Edmondson

Dr Edmondson is a registered specialist in oral surgery. He qualified in Manchester in 1991 and undertook surgical training at hospitals in East Lancashire. He has provided dental implant treatment on referral in Clitheroe since 2001. Mark also acce

Dr Jonathan Kennair

Jonathan graduated from Newcastle in 2006. He has worked in general practice, Salford Royal Hospital, the Royal Blackburn Hospital and taught at the University of Manchester. He provides oral surgery and dental implant treatment at the practice on referra

Mr Colin Johnston

Mr Johnston is a Consultant in Oral and Maxillofacial Surgery at the Royal Blackburn Hospital and Burnley General Hospital with a special interest in skin cancer. He is an honorary senior clinical lecturer at UCLan and a registered BUPA Consultant. H

Mr Gary Cousin

Mr Cousin is a Consultant in Oral and Maxillofacial Surgery at the Royal Blackburn Hospital and  Burnley General Hospital. He is an honorary senior clinical lecturer at UCLan and a registered BUPA Consultant. He provides treatment at the practice on refe