Consultation And Assessment
A consultation gives you time to discuss dental anxiety, medical history, sedation suitability, benefits, risks and other options before deciding on care.
A past traumatic experience, rising anxiety or a strong gag reflex can stop many people from getting dental care; a common patient concern is how treatment options will be explained before anything goes ahead. If you are searching from Hornchurch, Start Smiling’s Ingatestone practice offers private assessments designed to set out the likely dental needs, whether conscious sedation or relaxation options are being considered, the reasons for any recommendation, the alternatives and what recovery is likely to involve. These discussions aim to give clear information and a written estimate so you can decide with confidence before consenting to treatment.
Start Smiling welcomes private patients from Hornchurch who want to explore sedation and other relaxation options at the Ingatestone practice. Conscious sedation uses medication to reduce anxiety while you remain conscious and able to respond; local anaesthetic may also be used when clinically indicated, and the team will explain what is suitable for you after an assessment.
Before any treatment proceeds we complete a suitability assessment that reviews your medical history, current medicines and the proposed dental work. The clinician explains the likely benefits, potential risks and alternatives and provides a clear cost estimate tied to the sedation method, appointment length and treatment involved so you understand what you are consenting to.

Help And Practical Information For Nervous Patients
A consultation gives you time to discuss dental anxiety, medical history, sedation suitability, benefits, risks and other options before deciding on care.
We describe the recommended procedures, indicate if sedation is being considered, outline reasons for that recommendation and discuss realistic alternatives so you can make an informed choice.
Information clarifies that conscious sedation reduces anxiety with medication while you remain able to respond and that the practice will confirm which methods, if any, are available after assessment.
For some patients, extra time, phased appointments or relaxation approaches may allow treatment without medication; these non-sedation routes are reviewed alongside medicated options at assessment.
When sedation is part of the plan the clinician explains the monitoring and recovery checks that will apply during and after the appointment and how aftercare instructions will be given.
You receive a tailored estimate before proceeding; costs depend on the sedation method, appointment length and the dental treatment needed.
Bring notes of past experiences, practical concerns and questions about sensations, recovery, escort and driving guidance so the clinician can address them during the consultation.
Staff will explain how to book an assessment at the Ingatestone practice and what to expect during the first appointment so you can plan with confidence.
Dentists and staff with experience in discussing dental anxiety and the potential role of sedation with adult patients.
Every plan begins with a suitability review that considers your health, medicines and the type of dental work required.
We explain recommended treatment, why sedation may be suggested, possible risks and realistic alternatives before you consent.
Private patients are given a cost estimate that reflects the sedation option, appointment length and the proposed dental care.
If sedation is used we outline the monitoring, recovery checks and aftercare advice that will apply to your appointment.
Appointments are planned to allow time for discussion and to reduce stress so you can make a considered decision about your care.
A receptionist or clinician will confirm the purpose of your visit and gather a short history to prepare for the detailed assessment.
A dentist reviews your medical history, current medicines and any health factors that influence whether sedation is appropriate.
The clinician sets out the recommended dental procedures, explains whether sedation is being considered and covers alternatives, benefits and risks.
If sedation is suitable the team will outline the proposed plan, monitoring arrangements, recovery checks and provide an estimate of costs.
During any sedated appointment appropriate clinical monitoring is used as required and local anaesthetic may be given when clinically indicated.
After treatment staff assess your recovery and give written and verbal aftercare instructions tailored to the sedation method and dental work performed.
Whether sedation dentistry is right for you depends on your individual health, the planned dental procedures and your personal comfort goals; the practice cannot guarantee that sedation suits everyone. The purpose of the private assessment is to identify the safest, most effective way to help you receive care, and to explain clearly how treatment options will be presented before you decide.
Many patients seek sedation because anxiety, a strong gag reflex or complex treatment make routine appointments difficult, while others prefer non-medicated approaches. The clinician will support a shared decision by discussing possible benefits and trade-offs and by explaining the likely recovery and aftercare specific to your situation.

Explore how treatment options are explained before proceeding with the clinician during an assessment.
Bring a list of current medicines and any relevant health information to your assessment appointment.
Follow any specific instructions the dental team gives you for your particular procedure after suitability is confirmed.
Prepare questions about sensations, recovery and escort or driving guidance to discuss at your consultation.

Aftercare instructions will be provided at your appointment; follow them and contact the practice if you have unexpected symptoms.
Avoid driving or operating machinery only if the team advises this for your specific procedure after assessment.
Arrange transport or an escort if the practice recommends this following the chosen sedation method.
Patients from Hornchurch and the wider London Borough of Havering may book assessments and treatment at Start Smiling’s Ingatestone practice. The team confirms appointment availability and any preparation or escort advice when you call; staff can also help with practical questions about travel or parking at booking.
