Fear of the dentist

One in four of us dreads a visit to the dentist, but there are ways to overcome your fear.

Tips to ease fear of the dentist.

Being afraid of the dentist means different things to different people. Maybe it's the thought that treatment will hurt, or that the sounds and smells bring back memories of bad experiences as a child.

The good news is that more and more dentists understand their patients’ fears. With a combination of kindness and gentleness they can do a lot to make dental treatment stress free.

Karen Coates, a dental adviser at the British Dental Health Foundation, says the organisation’s dental helpline receives many calls about fear and phobia. "People who are scared of the dentist often call us for help because they’re at the end of their tether. Their teeth don’t look nice any more or they’re in a lot of pain with toothache, and they want to make the first step to seeing a dentist and getting their teeth sorted out.

"Some people have such bad dental phobia that they haven’t seen a dentist for years. It’s common for us to hear from someone in their twenties or thirties or even older who hasn’t been to the dentist since childhood. Recently, a 16-year-old girl whose mother has a dental phobia called the helpline. The mother had never taken the daughter to the dentist – and now the girl desperately wanted to have a dental check-up."

Dental advances

If you haven’t seen a dentist for several years because of fear or anxiety, be reassured that you should find the experience more bearable nowadays.

"Most people who are scared of the dentist have bad memories from childhood of the smells and sounds of the surgery," says Karen. "Modern dental surgeries are much friendlier environments, with flowers in the waiting room, art on the walls, a pleasant reception area and polite staff.

"It’s altogether a gentler experience. Of course, you’ll still have the smells and sounds of the dental surgery but these are less noticeable than they used to be with instruments hidden from sight and background music playing. Even drills aren’t as noisy as they used to be," she adds.

Advances in technology have also improved dentistry. Treatment can now be completely painless. The dental wand (a computerised injection system that looks like a pen and delivers the anaesthetic very slowly so it is painless) is great for anyone with a needle phobia. A numbing gel can also be used to numb your gums before an injection so you don’t feel the needle.

8 tips to ease dental fear

If you’re anxious about seeing the dentist, here are Karen’s tips to ease the fear:

  • Find an understanding dentist. Ask friends and family if they can recommend one or look for someone who advertises themselves as an expert with anxious patients. Search for your local dentists here.
  • Once you've found someone you think may be suitable, visit the surgery to have a look around, meet the receptionist and dentist and see the environment. Tell the dentist that you're anxious so they know beforehand.
  • Pick an appointment time early in the morning so you have less time to dwell on it.
  • The first appointment will simply be a check-up so don’t worry that you’ll be launched into having a filling, the drill or a needle. See this first visit as your chance to get to know the dentist.
  • Take a friend with you to your appointment. The dentist won’t mind if they accompany you throughout the check-up or treatment.
  • Agree a sign with the dentist to signal that you need a break and want them to stop. It can be as simple as pointing your finger, and will help you feel more in control.
  • If you think it will help, start gradually with a clean and polish then work up to more extensive treatment once you’ve built up trust and rapport with your dentist.
  • Take a personal stereo with you to listen to music during your visit. It will help you relax.

NHS sedation clinics 

If you're extremely nervous, ask your dentist to refer you to an NHS sedation clinic. These clinics are specifically for nervous dental patients. 

Some people find simple inhalation sedation very helpful to relax them for dental treatment. This is a bit like gas and air given during childbirth, but instead of being delivered through a mask it comes through a nosepiece.

If you're extremely nervous you may prefer intravenous sedation (through an injection into your hand or arm) during treatment. The drugs won’t send you to sleep – you’ll be awake and able to talk to the dentist – but they’ll calm and relax you so deeply you probably won’t remember much of what happened.

 

Last reviewed: 02/12/2011

Next review due: 02/12/2013

Comments are personal views. Any information they give has not been checked and may not be accurate.

procrastionatior said on 14 July 2011

i also have a decayed tooth at the front of my tooth which i am very self concious about. i want to go but i am so scared and my partner moks me about and calls me pirate. i also have a rotting tooth in the back of my mouth. and i need fillings. i ned to know how much it will be.

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Andi_1986 said on 19 October 2009

I haven't been to a Dentist now for about 5 Years due to the fear factor.
Last Time I went to the Dentist I had to have a tooth removed, but due to the fact that I'd had an Abcess there, I had to be injected 9 Times with the Anaesthetic before that side of my mouth went numb, I actually felt as though I was going to be sick.

And yesterday and Abcess appeared in my mouth, and I'm not registred with any of the Dentist's in my Local area, and I just can not bring my self to go into a Dentists.

What can I do??

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Becki_1989 said on 06 May 2009

I had to go to the emergency dentist a couple of years ago and had to have a tooth out as i had two teeth up in the middle of my mouth. So i went to the dentist and had to have one out, so i had three injections to numb my mouth and as my mouth wasnt numb enough i had to have a fourth one i got told that the fourth one wouldnt hurt as much because i already had three and my mouth was kinda numb already, but as i had the fourth injection it was more painful than the other three put together. So i went to the dentist in november because i had really bad tooth ache the dentist told me i have an abcess! He game me a precription for some medican for it but i didnt take it as i hated the taste. After reading everything above im still to scared to go to the dentist to get my abcess sorted out! Do you think im being stupid by not going to the dentist? This abcess has stopped me from eating on the right side of my mouth since september 2008. Im scared im going to have to have the tooth taken out, which i really dont want. Its my 4th tooth on the right side of my mouth. Half the tooth is rotton and the other is white. It looks horrible.

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User193652 said on 04 March 2009

Yesterday I had my first appointment in over 10 years, as one of my front teeth has broken. I had a white filing in it which came out some months ago and I patched it up myself cos I was too scared to go to dentist. Anyhow, spent all yesterday in tears about it but they are going to send me to the Dental Unit @ Arrowe Park hospital, Wirral. the dentist I saw was really nice and explained everything clearly. As I was so nervous, they decided not to do anything there and then, as my treatment is quite extensive. I am still very nervous about all the work I need, and the fact that my teeth are in a really bad way. But at least I know I can get them sorted and a pain free (and less traumatic) way. Fingers crossed it will go OK

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User155965 said on 13 February 2009

i took my daughter to the dentist today, we'd tried last week but their incompetence is beyond a joke, she need all her 5's taken out because of overcrowding, the numpty of a dentist has no patience for her, raised his voice to her, told her to stop wasting his time, he's hurt her once before, when using numbing gel to pull a baby tooth out, and she's never forgotten it, i didnt know how much it had effected her til today, he's put the fear of God into her, she's only 12, and now just mentioning him puts her into an uncontrollable fit of the shakes, what can i do?

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User155965 said on 13 February 2009

i took my daughter to the dentist today, we'd tried last week but their incompetence is beyond a joke, she need all her 5's taken out because of overcrowding, the numpty of a dentist has no patience for her, raised his voice to her, told her to stop wasting his time, he's hurt her once before, when using numbing gel to pull a baby tooth out, and she's never forgotten it, i didnt know how much it had effected her til today, he's put the fear of God into her, she's only 12, and now just mentioning him puts her into an uncontrollable fit of the shakes, what can i do?

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User151313 said on 11 February 2009

I had many bad experiences in the past with dentists, and in recent years, although I had caring dentists and they would give me injections these never helped fully and I was still in a lot of pain which they really couldn't understand why I was still feeling pain. Until it was explained that I was blocking the pain relief out of fear. So a circle of fear of pain, me blocking the pain relief and getting more pain!

I went to a hypnotherapist (sceptically!) and when I returned to my dentist I was able to have heavy scaling done with no needle, and when I had root canal treatment - with an injection of course - I almost nodded off. My treatments since then have been so much better. Our fears are very powerful and can stop the thing that is trying to ease the pain.
I do hope this helps someone.

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Natalie50 said on 03 November 2008

Hello Can anyone suggest a good dentist in the Kent area BR1 or BR4. I am a nervous dental patient and I need to find one that offers sedation. Can anyone help please?

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Kevin said on 31 July 2008

I relate to all of the above. However I am having a real hard time finding a dentist who offers a sedation clinic. Can anyone help? I live in the Bexley area of Kent.

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leah said on 16 July 2008

Have a dental appointment at 10 today, havent slept all night so scared. Will I get through the door? My dentist is brilliant all work is done under IV Sedation I dont feel a thing. I am still scared, scared of pain, scared of gagging, scared of what the dentist will say.

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Rachel said on 06 July 2008

Its so good to know im not alone though!!

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Rachel said on 06 July 2008

I am petrified of the dentist due to such bad experiences, lack of communication with every dentist I ever had due to them not being english, not explaining things properly, not understanding them and expierencing alot of pain as a child!! I am 21 and at the moment I am in complete denial. I accept that i am afraid of the dentist but I am not prepared to do anything about it yet!!

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louise said on 24 March 2008

i an terrifide so is my partner, i have a decayed tooth at the front, it looks so bad, i try not to smile or laugh as i dont want people t see it, after reeding this i am going t find a dentis n go, its my aunties 70th birthday soon and i intend to smile on every picture.

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