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Medical Forum / General / Dentistry / November 2006

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Fear of Dentists

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Eva Quesnell - 28 Nov 2006 20:08 GMT
I am new here.  I was browsing to see if there were any posts about fear
of dentists.  I didn't see any.  I've had some very bad experiences with
dentists who do not understand my fears.

I went to one who I was just beginning to trust a little bit when he
screamed at me because I came in after having a tooth extracted and
complained of pain that was lasting way too long.  It was a dry socket,
and I just showed up on a Monday morning because I was still in pain after
having the tooth removed the Thursday before.  He said to me, "You came in
here as if it were some kind of emergency or something.  What do you want
me to do, torture you by packing it?"  Of course, my tearful reply was
"no."  He proceeded to stick his poky thing right down into the dry socket
hole.  I put my hand up on my chin and started to cry.  He just kept
yelling at me about how I gave him such a hard time every time I came to
see him.  I think this was abusive.  I certainly didn't go back.  All he
did was reinforce my fear.

I am now trying a new dentist, one who my niece has seen since she was
just a wee little girl.  He is very kind, understanding, and gentle.  My
teeth are bad because of my fear keeping me from preventive treatments.

I have an appointment with him tomorrow morning to have a broken tooth
extracted.  I am scared sh*tless, but I have also agreed to having all my
teeth X-rayed and having a full exam -- after which he says we'll draw up
a plan for the many little cavities I have.  I told him last time that I
almost felt like I'd rather just have them all pulled out rather than face
the fear.

I have two conditions, besides the fear, that complicate matters.  When I
had my wisdom teeth removed, the oral surgeon damaged a nerve in the lower
left quandrant.  This left me with parasthesia (sp) there.  I have gotten
used to it, but it sends little electrical shock feelings through that
area when the dentist numbs me.  I also have Meniere's Disease, an
imbalance of water in my inner ear that makes the sound of the drill go
right through my head and cause pain in my ears.

I think this new dentist understands all of these things.  We sat and
talked -- he actually listens to me -- about all my fears and problems.

Do most dentists really not understand that there of those of us who are
scared to death of them?  Am I that unusual?  Help!

Eva
Mark & Steven Bornfeld - 28 Nov 2006 21:20 GMT
> I am new here.  I was browsing to see if there were any posts about fear
> of dentists.  I didn't see any.  I've had some very bad experiences with
[quoted text clipped - 39 lines]
>
> Eva

    You are not unusual.  I am glad to hear you have found a dentist who
may not only be normal, but may have a significant compassion level.
    Just as there are many patients like you, there are many good dentists
out there.  Unfortunately, it is not necessary to demonstrate one's
continued emotional stability periodically in order to maintain one's
license in most jurisdictions.  Or (trying to be extra empathetic
myself) maybe Dr. Mengele just had a particularly rough morning when he
dressed you down.  Either way, it's unacceptable, and you are IMO fully
justified based on this one incident to find another dentist.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Eva Quesnell - 28 Nov 2006 21:54 GMT
>> I think this new dentist understands all of these things.  We sat and
>> talked -- he actually listens to me -- about all my fears and problems.
[quoted text clipped - 15 lines]
>
> Steve

Thank you.  I do think I've chosen the right dentist this time.  I am just
so scared of what he'll say when he does this full exam.  I have neglected
going to the dentist for so long because of my fear.  I do know that the
dentist who screamed at me was going through a divorce.  But I also
believe that people should leave their problems at home and not bring them
to work.  The new dentist has apologized for his colleague's behavior.
I'm not so much afraid of having the tooth pulled as I am of starting a
new relationship and gaining some trust with this new dentist.  I know
that he almost cried himself when my niece cried as he filled a cavity for
her.  I just don't understand why some dentists can't take the time to
talk to a person first before just jumping in there.  All I need is a
little patience and understanding.

I know I have lots of little cavities.  Do you think it's reasonable for
me to expect this dentist to fill more than one at a time if they are
close together?  This could save me the anxiety I feel at even the thought
of going into that office and smelling the dentist smells.  My pain
threshhold is high -- but the last dentist said I was a baby.  I can take
the pain part -- it's the not knowing what comes next that scares me so
much.  Gosh, I don't know what I really expect you to be able to do for
me.  I guess I just need reassurance.  Thanks for answering me.

Eva
Eva Quesnell - 28 Nov 2006 22:23 GMT
I guess a little more history would help you if you're willing to help me
overcome my fear.

When I was 11, we had a nice dentist.  This was back in the day when there
weren't painless shots.  The first dentist would baby me along and rub
some gel on my gums before he gave me a shot.  It really is all about
understanding with me.  One day, I was sitting in the chair waiting for my
regular dentist when a total stranger walked in to tell me he was the new
dentist.  The old one had retired.  So he just started coming at me with
the needle.  I cried and said no.  I wouldn't let him give me the shot.
He started drilling on my tooth without the shot.  I, of course, was
screaming in pain.  He stopped what he was doing, slapped my face, and
then gave me the shot.  I was only 11, for God's sake.  I didn't know what
to do.  It was horrifying.  It only made everything worse.  I have had
good, kind dentists after that.  But they always seem to retire and leave
me.  Who me, paranoid?  Nah!

Anyway, I've told all my horror stories to this new dentist so he would
know exactly what causes my fear.  He said that they told them in dental
school that it was all right to hold your hand over a child's mouth and
pinch his/her nose shut if they cried.  He said he just wouldn't do some
of the things they said to do.  I know that he will be patient and careful
with me.  But the fear is so strong.

I'm starting to get scared now.  I even cried when I read your kind and
compassionate answer to me.  I know I'll cry before they even touch me
tomorrow.  If you've ever had a patient as scared as I am, how long did it
take them to come to trust you?

Eva, freaking out now
Melinda Shore - 28 Nov 2006 23:29 GMT
>Eva, freaking out now

I was in a similar situation this last summer.  Finding the
right dentist made all the difference in my experience in
the chair, and getting the work done has made an
EXTRAORDINARY difference in my quality of life.  I never
would have guessed how much better things are with the
discomfort gone, the self-consciousness gone, the ability to
eat vastly improved, and so on.  And having the work itself
done was nothing like the old days.  Really, I was scared
sh*tless for years beforehand, but it was great.

I normally avoid drugs, medication, and so on, but let me
put in a plug for sedation dentistry.  You won't remember a
thing afterward, and the dentist can get a lot more done in
one session.
Signature

    Melinda Shore - Software longa, hardware brevis - shore@panix.com

     Prouder than ever to be a member of the reality-based community

Eva Quesnell - 28 Nov 2006 23:40 GMT
>> Eva, freaking out now
>
[quoted text clipped - 12 lines]
> thing afterward, and the dentist can get a lot more done in
> one session.

Thank you, Melinda.  This does help me.  It's good to know I'm not the
only one who's scared.  I have a lot of pain every single day because of
my bad teeth, and I am hoping that I can get past the fear and fix these
problems.  I have Meniere's Disease, and I take xanax on a daily basis.
So I don't normally take anything besides that.  I will, however, be
taking an extra small dose when I arrive at the office.  It will help calm
me down.  So I'm kinda doing my own sedation.  But don't worry -- I've
been taking this medication for my ear problems for over 12 years, and I
know how to handle it.  I'm not going to do anything weird like take way
too much.  I know just how much to take.  I don't know what kind of
sedation you mean.  I have been given nitrous oxide before, but it made me
feel like I was going to faint.  I don't think I tolerate it well.  I
don't know if this dentist does any sedation, but he didn't mention it.  I
think he probably would have when I was *very clear* with him about how
afraid I am.  I appreciate your time.  I do feel a little foolish for
being so scared.  It's just really hard to find a dentist who doesn't
treat me like a fool for being afraid.  This guy is a little expensive,
but I think the trust issue is most important.

Eva
Melinda Shore - 29 Nov 2006 00:16 GMT
>Thank you, Melinda.  This does help me.  It's good to know I'm not the
>only one who's scared.  

It's common enough that there are dentists who advertise as
specializing in apprehensive patients.  The main thing is
that you're taking the right steps to find a dentist who you
can work with and towards taking control of your health.
Ironically, I felt like a huge dope about it before I saw my
new dentist but not after because she really helped me stop
feeling like such a freak about it.  Kudos to you for
getting past your fear and getting this taken care of.
Signature

    Melinda Shore - Software longa, hardware brevis - shore@panix.com

     Prouder than ever to be a member of the reality-based community

Eva Quesnell - 29 Nov 2006 00:49 GMT
>> Thank you, Melinda.  This does help me.  It's good to know I'm not the
>> only one who's scared.
[quoted text clipped - 7 lines]
> feeling like such a freak about it.  Kudos to you for
> getting past your fear and getting this taken care of.

I do kinda-sorta know that there are lots of people who are afraid.  My
little sister is one of them, and she's gone to this dentist before.  She
says he's kind and gentle.  I have stalled it off and stalled it off, but
I have at least finally taken the first step in going to see him last
month.  I did have to take a round of antibiotics because the tooth was
infected.  He did not charge me for that visit, even tho he did an X-ray.
I will keep your suggestion in mind about the sedation dentist.  First I
will see how I do with this guy.  I really think that I just need that bit
of understanding and compassion to gain courage.  I know what it's like to
feel like a big dope for being so scared.  But I have to move forward and
take control, like you said.  He has promised me that he would never, ever
yell at me or look down on me for being afraid.  He does seem like a
really nice guy.  Thank you for your encouragement.  It helps more than
you will ever know.  Bless your heart.

Eva
Newbie - 29 Nov 2006 16:06 GMT
>>Eva, freaking out now
>
[quoted text clipped - 12 lines]
>thing afterward, and the dentist can get a lot more done in
>one session.

I couldn't agree more. Well said.
Eva Quesnell - 29 Nov 2006 21:05 GMT
Well, it's done.  The actual pulling wasn't that bad.  It went really
fast.  All I had to do was distinguish between pain and pressure.  The
shot hurt, and they had a hard time getting me numb with novacain -- then
they used carbocaine(sp), and then little shots of lidocaine right around
the tooth itself.  They were kind and careful, taking time to understand
how I react.  I was good -- I only cried when they said they were going to
give me the shot.  I didn't cry at all when they actually gave me the shot
or pulled the tooth.  The only thing that brought tears was the thought of
getting the shot.  So I survived.  :)

Thanks to all who offered advice.  I think I'll be able to go back and get
the little cavities fixed now.  They said most of them are so small that
they will be able to use a laser and not even need to give me shots.
Phew!

Eva
Steven Bornfeld - 29 Nov 2006 02:28 GMT
> I guess a little more history would help you if you're willing to help
> me overcome my fear.
[quoted text clipped - 26 lines]
>
> Eva, freaking out now

    Fear comes in all shapes sizes and forms.  You have clearly had some
unacceptable experiences in the past.  But you have also had dentists
who were kind and compassionate, and it sounds like you have one now.
There is no way I can tell you how long it will take you to trust your
new dentist, given your history.  But it's clear you have a handle on
what is unacceptable behavior, and here I would tend to trust your own
instincts on this.
    Some dentists work with sedatives, inhalation agents, hypnosis, and
even general anesthesia, and this is an option you may wish to explore.
 Your dentist should be able to discuss this with you, and refer you as
necessary.  You may also want to speak to your physician, as a
short-term anxiety medication may be all that you need.

Good luck,
Steve
Eva Quesnell - 29 Nov 2006 14:00 GMT
>     Fear comes in all shapes sizes and forms.  You have clearly had some
> unacceptable experiences in the past.  But you have also had dentists who
[quoted text clipped - 10 lines]
> Good luck,
> Steve

Thanks, Steve.  I know you can't give me any absolutes.  It did help me to
talk to you about it.  I am getting ready to go.  I have some confidence
now.  I'm still a little scared, but at least I'm not backing out.  I do
appreciate your time.  I'm off to get ready to go now.

Eva
Stormin Mormon - 29 Nov 2006 18:49 GMT
That's plenty of reason to be afraid of dentists. Some dentists "cater
to cowards" in my area. However, this isn't really accurate. You sound
like a reasonable person who had an unreasonable dentist. But, even
though you don't pefectly fit the description, maybe one of these
would be better.

I'm also wondering if it would be a good idea to offer to meet the
dentist for lunch, or something away from the dental office. That way
you would get to know each other, and he wouldn't be just a white
coat.

Signature

Christopher A. Young
 You can't shout down a troll.
 You have to starve them.
.

I guess a little more history would help you if you're willing to help
me
overcome my fear.

When I was 11, we had a nice dentist.  This was back in the day when
there
weren't painless shots.  The first dentist would baby me along and rub
some gel on my gums before he gave me a shot.  It really is all about
understanding with me.  One day, I was sitting in the chair waiting
for my
regular dentist when a total stranger walked in to tell me he was the
new
dentist.  The old one had retired.  So he just started coming at me
with
the needle.  I cried and said no.  I wouldn't let him give me the
shot.
He started drilling on my tooth without the shot.  I, of course, was
screaming in pain.  He stopped what he was doing, slapped my face, and
then gave me the shot.  I was only 11, for God's sake.  I didn't know
what
to do.  It was horrifying.  It only made everything worse.  I have had
good, kind dentists after that.  But they always seem to retire and
leave
me.  Who me, paranoid?  Nah!

Anyway, I've told all my horror stories to this new dentist so he
would
know exactly what causes my fear.  He said that they told them in
dental
school that it was all right to hold your hand over a child's mouth
and
pinch his/her nose shut if they cried.  He said he just wouldn't do
some
of the things they said to do.  I know that he will be patient and
careful
with me.  But the fear is so strong.

I'm starting to get scared now.  I even cried when I read your kind
and
compassionate answer to me.  I know I'll cry before they even touch me
tomorrow.  If you've ever had a patient as scared as I am, how long
did it
take them to come to trust you?

Eva, freaking out now
Steven Bornfeld - 28 Nov 2006 23:18 GMT
>>> I think this new dentist understands all of these things.  We sat and
>>> talked -- he actually listens to me -- about all my fears and problems.
[quoted text clipped - 41 lines]
>
> Eva

    In general, the office should be able to show some scheduling
flexibility to minimize number of visits, if the patient can tolerate
longer visits and there is no specific reason not to schedule that way.

Steve
Eva Quesnell - 28 Nov 2006 23:33 GMT
>> I know I have lots of little cavities.  Do you think it's reasonable for me
>> to expect this dentist to fill more than one at a time if they are close
[quoted text clipped - 12 lines]
>
> Steve

Thanks again.  I seem to be in need of a little hand-holding today.  I am
gearing up and trying to get my courage going so I don't melt into a
puddle tomorrow morning.

Eva
Newbie - 29 Nov 2006 16:04 GMT
>>> I think this new dentist understands all of these things.  We sat and
>>> talked -- he actually listens to me -- about all my fears and problems.
[quoted text clipped - 39 lines]
>
>Eva

Sounds to me that you are a perfect candidate for 'sedation dentistry'.
I do this all the time for my fearful patients. Ask your new doc if
he does this. ( a little valium before an appointment can make
a world of difference)
letsconnect - 29 Nov 2006 01:45 GMT
> I am new here.  I was browsing to see if there were any posts about fear
> of dentists.  I didn't see any.

That's because the dental forum is here:
http://www.dentalfearcentral.org/cgi-bin/yabb2/YaBB.pl

It's pretty busy, so you're not unusual :-) !
Eva Quesnell - 29 Nov 2006 14:01 GMT
>> I am new here.  I was browsing to see if there were any posts about fear
>> of dentists.  I didn't see any.
[quoted text clipped - 3 lines]
>
> It's pretty busy, so you're not unusual :-) !

Thanks for the link.  It does help to know I'm not alone in this.

Eva
©®©@®.©®© - 29 Nov 2006 02:29 GMT
> I am new here.  I was browsing to see if there were any posts about fear
> of dentists.  I didn't see any.  I've had some very bad experiences with
[quoted text clipped - 39 lines]
>
> Eva

You will soon learn that the only thing to be afraid of is the BILL!
You never get over than fear no matter how much KY jelly is used!

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.

 
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