Dental phobia is basically an extreme fear of dentistry. For a
person with dental phobia, even the mention of certain words can bring
on that gut-wrenching feeling of terror. A phobia is usually a fear of
something that is unfounded or irrational.
But I think that dental phobia is very real to the people who suffer
from it. They don’t care why they have it, they just know that they
hate going to the dentist.
But it gets worse; because of this extreme fear, they avoid visiting
a dentist for any treatment unless they have a severe problem. Then we
have two problems: First, they are turning up at the dentist’s office
in extreme pain, and so learn to associate pain with the dentist’s
office. And second, because they only see a dentist rarely, their teeth
are usually in a poor state, and they are very embarrassed about this.
This increases their fear.
It’s a vicious circle. One that is very hard to break out of,
because most people with dental phobia don’t WANT to be able to see a
dentist. It’s a bit like having a fear of heights, or of spiders.
These phobias can be easily cured these days, but the only people
seeking that cure are those who WANT to overcome it for some reason,
i.e.. learning to skydive, or wanting to live in a hot country that has
But there are few reasons for dental phobics to WANT to get better.
But some do.
And there are several options to help.
Which option will work best depends on the individual person, and
a combination of options listed below will work even better.
THE VERY BEST TOTAL SOLUTION COULD BE DENTAL
But first, let’s take a look at a few specific things that people
have a phobia about;
- Needles. This is very common. Nobody likes needles, myself
The real fact, though, is that it’s the person holding the needle (ie.
the doctor) who is in control. In dentistry is’s perfectly possible to
give a PAINLESS
SHOT. But the doctor has to take his time, and do it
- That leads us to the next factor - somebody else is in control!
us like to have a bit of control over what goes on in our lives, but
when it comes to getting medical or dental treatment, we usually have
to hand control over to the doctor. This takes a lot of trust.
- Noises and smells. I’ve put these two together because they don’t
actually DO anything. You just sense them. But the noises of dental
instruments and the smells associated with a dental office are enough
to put some people off completely.
- Vibration. This is the FEELING you might get when you have work
your teeth. There is no pain, but you can sense the vibration/scraping.
Some people don’t mind injections, but cannot bear the sensation of
having their teeth worked on.
SO, what are the options to help?
As always, prevention is better than cure. And most phobias start
a childhood experience. So it’s a bit late to do anything with regard
to prevention if you already have the phobia! But take a look at KIDS
FIRST DENTIST VISIT if you’s like to help your own kids avoid a
NEXT - you have to find a dentist who understands dental phobias and
sympathetic, AND who has the training and equipment to help you.
Here are a few pointers that you may notice if you can find someone
His dental office will be a little different from a standard dental
- First, when you go in, there will be no typical dental smells,
won’t hear any sounds of treatment going on. It’ll be more like the
reception area of a spa hotel.
- When you meet him, he won’t be dressed in a white doctor’s coat,
surgical scrubs of any color. He will probably be dressed in casual
trousers and a polo shirt.
- When he starts talking with you, he will
listen to your concerns, and reassure you that, no matter how bad your
teeth are, he has seen it all before and he will not be shocked by what
in your mouth.
Remember, you are the patient, you are in control, and
that first visit is just to have a look, have a talk, and find out what
you need and what what can be done. NO TREATMENT on the first visit!
Sounding good so far? There’s more detail on these specific
below, but first of all let’s get back to dealing with the whole issue
of dental phobia head-on!
What if you didn’t need to worry about the
individual specific things that trigger your phobia?
How can you
I think one of the BEST ways to treat dental phobia is by hypnosis.
you can start it BEFORE you ever go to the dental office. The biggest
problem with hypnosis is the image it has - it is widely
I strongly recommend this option, because it is drug-free,
effective and puts YOU in control. To find out how this works, and
whether YOU might be suitable, please go to my DENTAL
HYPNOSIS page. I
promise, you’ll find out some amazing things!
Assuming that you just want to find out about the specific issues
triggering your phobia, and how to deal with those (rather than using
hypnosis), let’s take a closer look.
- For many people, a needle phobia is
the first thing they think about. I have already talked about
how to get a painless shot. Find out how by checking out that page!
- The next thing is some level of control over the treatment you
This starts off with the dentist explaining the X rays he has taken of
your teeth, and explaining what treatment you need, and why.
are in a situation of having some knowledge about what’s going on, and
making the decisions about what you want to have done (if anything!).
- Once treatment actually starts, many people can feel they lose
again. There are two ways to deal with this.
- One is to develop a degree of trust in the dentist, that he
whatever he is doing if you show the slightest sign of discomfort.
my office, we ask the patient to raise their left hand if they are
feeling uncomfortable FOR ANY REASON WHATSOEVER. I tend to keep an eye
on that left hand, and if I even see one finger start to move a
fraction, I stop immediately.
Usually, giving the patient this degree of control over the proceedings
is enough to allow treatment to proceed.
- I have heard of a development of this idea, although it is
something I have done myself. I have read about a system whereby the
dentist has wired up the dental equipment in such a way as to give the
patient a “cut-off” button. This is a small hand-held trigger, that
allows the patient to cut the power to the entire dental unit if they
press the button! Of course, this gives them complete control to
interrupt the treatment at any second.
I think this type of system is rare in most dental offices for two
reasons; one is that using all the other techniques is enough for 99%
of patients, and the the other reason is that most dentists would not
want to hand over so much control to the patient!
Looking at the last two common causes for anxiety in the dental
the smells and noises are something that most modern dental offices do
If you go into a new dental office for the first time, and
you can smell that “dentist” smell, or you can hear treatment going on
somewhere, just turnaround and walk out. Find another office. Period.
The last problem, that of feeling vibration or scraping, is
to eliminate completely. People continually ask me about dental lasers,
having heard that they are free of vibration. That point is true, but
dental lasers are very limited in what they can do in dentistry. They
work well for some types of surgery, and in a few types of new cavity,
but they cannot remove old fillings nor tooth enamel, which is pretty
much 95% of what dental air turbines (“drill”) are used for . So,
unfortunately, dental lasers are not yet a realistic alternative.
So we have looked at what specific things in the dental office
trigger a phobic reaction, and I have explained a few options to help
deal specifically with these issues.
BUT what if you have an urgent problem that needs attention
What if you have a tooth that needs to get pulled? (More information on
GETTING A TOOTH PULLED)
There are other options for those of you that want to just get
into dealing with a specific dental problem or specific tooth. What we
are talking about is some sort of sedation.
BUT there are several
levels of sedation.
- Oral sedation. This is the most straightforward.
The dentist (or your medical doctor) can prescribe some tablets for
you, to take the night before your dental appointment, and additionally
one hour before your dental appointment. The most common medications
are diazepam (Valium) and temazepam. Lorazepam is also sometimes used.
BUT it’s important to realise that these meds will NOT knock you out.
You will actually feel pretty normal after you have taken them, and
some patients tell me that they feel as if the meds haven’t had much
effect. BUT they are actually way more relaxed, and less concerned
about dental treatment. One thing to remember is that these meds slow
down your reactions significantly, and so you will need someone to
drive you to the dental office and home again afterwards. You shouldn’t
operate any dangerous machinery (including driving a car!) for 24
- Intra-venous sedation. This is stronger, and involves a small
in the back of your hand or arm. You get an initial shot which makes
you feel very sleepy, and dental treatment is then carried out with the
normal local anesthetics. You can have the shot “topped up” a little if
you feel you are coming round a bit before treatment is complete.
Again, you will need someone to drive you home, as you will feel quite
woozy for the rest of the day. Most people just go home and sleep it
off until evening. With intra-venous sedation, you normally remember
very little about the treatment, even though you are actually conscious
the whole time.
- Nitrous oxide (“gas”) sedation. (laughing gas) You stay awake
time with this one, too. It’s sometimes called “relative analgesia”,
and is actually a mixture of nitrous oxide and oxygen. You just have a
small mask over your nose, (obviously, the dentist needs to be able to
see your teeth to treat them!).
This type of sedation is used for
children as well, as it is very safe. You tend to drift off and have a
bit of a day-dream during treatment, and the effects wear off much
quicker than oral or intra-venous sedation.
- General anesthetic. This is the full-on aesthetic that would
for a surgical operation in a hospital. You are completely unconscious
for this. In dentistry it is normally reserved for serious conditions
or for wisdom tooth removal.
Few dental offices will offer this service
for routine dental treatment because it carries a slightly higher risk
of complications than sedation, and also it’s more expensive as you
need a fully qualified anesthesioligist (“Anaesthetist” in the U.K.) to
give the aesthetic and monitor you throughout the entire procedure.
Dealing with a dental phobia is vey difficult, but there ARE
getting round it. Again, I urge you to take a look at my DENTAL
HYPNOSIS page. I believe that this option is way out in first place
the best solution. In second place is daylight.
Dental hypnosis is
relatively inexpensive, easy to get, and can deal with ALL the things
that may trigger your dental phobia.
The other options I have written about can also be helpful in
situations, especially when you need some urgent attention. I wish you
Good Luck in getting rid of your dental phobia!