Afraid of the dentist?

IF you fear going to the dentist, you are not alone. Between nine percent and 15 percent of persons visiting my private clinic for example, state that they avoid going to the dentist because of anxiety or fear. All dentists expect their patients to feel some degree of apprehension in the dental chair, which is quite normal. People with dental anxiety always have a sense of uneasiness about an upcoming dental appointment. They may also have exaggerated worries or fears.

However, dental phobia is a more serious condition that leaves people panic-stricken and terrified and this condition is by no means normal. People with dental phobia are aware that the fear is totally irrational, but cannot do much to change this. They exhibit classic avoidance; they will do everything possible to avoid going to the dentist. People with dental phobia usually go to the dentist only when forced to do so by extreme pain.

Other signs of dental phobia include trouble sleeping the night before a dental exam; feelings of nervousness that escalate while in the dental office waiting room; crying or feeling physically ill at the very thought of visiting the dentist; intense or uneasiness at the thought of, or actually when objects are placed in your mouth during the dental appointment, or suddenly feeling as if it is difficult to breathe.

What Causes Dental Phobia and Anxiety?
There are many reasons why some people have dental phobia and anxiety. Some of the common reasons include:

* Fear of pain. Fear of pain is a very common reason for avoiding the dentist. This fear usually stems from an early dental experience that was unpleasant or painful, or from dental “pain and horror” stories told by others. Thanks to the many advances in dentistry made over the years, most of today’s dental procedures are considerably less painful or even pain-free.

* Fear of injections or fear the injection won’t work. Many people are terrified of needles, especially when inserted into their mouths. Beyond this fear, others fear that the anaesthesia hasn’t yet taken effect or wasn’t a large enough dose to knock out any pain before the dental procedure begins.

* Fear of anaesthetic side effects. Some people fear anaesthesia’s potential side effects, such as dizziness, feeling faint, or nausea. Others don’t like the numbness or “fat lip” associated with local anaesthetics.

* Feelings of helplessness and loss of control. It’s common for people to feel these emotions considering the situation – sitting in a dental chair with your mouth wide open, unable to see what’s going on.

* Embarrassment and loss of personal space. Many people feel uncomfortable about the physical closeness of the dentist to their faces. Others may feel self-conscious about the appearance of their teeth or possible mouth odours.

Should I talk to my dentist about my dental phobia?
Absolutely! In fact, if your dentist doesn’t take your fear seriously, find another dentist. The key to coping with dental anxiety is to discuss your fears with your dentist. Once your dentist knows what your fears are, he or she will be better able to work with you to determine the best ways to make you less anxious and more comfortable. Sometimes the dentist’s technique to have you cooperate may even include the appearance of his/her being forceful.

If lack of control is one of your main stressors, actively participating in discussion with your dentist about your own treatment can ease your tension. Ask your dentist to explain what’s happening at every stage of the procedure. This way, you can mentally prepare for what’s to come. Another helpful strategy is to establish a signal – such as raising your hand – when you want the dentist to immediately stop. Use this signal whenever you are uncomfortable, need to rinse your mouth, or simply need to catch your breath.

You should always bear in mind that your treatment is for your benefit and not the dentist’s . The dentist’s role is to help you overcome your fear as much as possible, but the final decision is always yours if you are an adult.

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