# Why your patient's biggest barrier isn't pain. It's walking through the door.

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Text version: https://stenobird.com/podcast/the-podcast-by-kevinmd-449609/why-your-patient-s-biggest-barrier-isn-t-pain-it-s-walking-through-the-door.md
Podcast: [The Podcast by KevinMD](https://stenobird.com/podcast/the-podcast-by-kevinmd-449609)
Published: 2026-05-15T08:00:00+00:00
Episode link: https://kevinmd.libsyn.com/why-your-patients-biggest-barrier-isnt-pain-its-walking-through-the-door
Audio file: https://traffic.libsyn.com/secure/kevinmd/Why-your-patient-s-biggest-barrier-isn-t-pain--it-s-walking-through-the-door.mp3?dest-id=2093345
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Duration seconds: 883

## Resource

What keeps millions of people from sitting in a dentist's chair, even when modern technology has made procedures more comfortable than ever? Kaushal Shah is a general dentist and dental director managing multiple practices in the Dallas area with 15 years of clinical experience. In this episode, based on his KevinMD article " Overcoming dental anxiety for better oral health care ," he explains why dental anxiety remains the single greatest obstacle to routine oral health care and what clinicians can do about it. You will hear how anxiety starts as early as infancy, why the entire office team from receptionist to assistant plays a critical role in calming nervous patients, and how simple techniques like using epinephrine-free anesthetic or computer-guided injection systems such as STA can dramatically reduce needle fear. Shah also shares his approach to sedation options ranging from nitrous oxide to general anesthesia, including how his practice screens patients and ensures safety with a physician anesthesiologist always present. He offers a direct message to physicians whose patients avoid dental visits until infections force them into a primary care office. If you or your patients have been putting off dental care out of fear, this episode lays out a practical path forward. Tune into our episode " 2026 Cholesterol Guidelines: LDL goals, lipoprotein(a), and coronary calcium scoring ," brought to you by Novartis Pharmaceuticals Corporation. For the first time in eight years, LDL cholesterol goals have changed, and preventive cardiologist Seth Baum says the new guidelines are a long-overdue course correction. He breaks down the new LDL targets for your highest-risk patients, why the LDL hypothesis should be retired in favor of the LDL fact, why lipoprotein(a) screening f…

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