Dental anxiety is an issue for any practicing dentist, with implications for patients and dentists alike. Anyone familiar with the dentist office knows that dental anxiety is real, with a measurable impact on office efficiency and patient experience. Dental anxiety has well-documented physiological and psychological effect, that can be deleterious to the lives of our patients, even in the long-term. Literature demonstrates that the majority of dental patients prefer sedation for endodontics, periodontics, and extraction procedures, and those with anxiety even prefer sedation for simple cleanings.