What dental anxiety looks like
Dental anxiety, also called dental phobia, is a strong fear of the dentist. People who have it often know the fear is out of proportion but cannot easily control it. Some only go when the pain is unbearable. Common signs include:
- Growing nervousness in the waiting room
- Intense unease at the thought of instruments in your mouth
- Physical reactions at the thought of the visit, such as sweating or a racing heartbeat
- Trouble sleeping the night before an appointment
When anxiety is severe enough to interfere with daily life, support from a mental health professional can help.
What causes it
It can affect people of any age or background. Common triggers are fear of pain, injections or anesthesia, embarrassment and feeling helpless. It can start at any time, for example after a new dentist, a friend's bad experience or scary online content. These fears are valid. The first step is to tell us about them. We believe communication is the key to a good relationship between dentist and patient.
Ways to cope
The American Dental Association suggests three approaches:
- Speak up. Tell us how you feel, ask questions, agree on a stop signal and let us know what you need, such as more or different anesthesia.
- Distract yourself. Listen to music or a podcast, squeeze a stress ball or picture a place you love.
- Use mindfulness. Slow your breathing, count your breaths and scan your body from head to toe.
Anesthesia and sedation
There are three main types of dental anesthesia. Local anesthesia numbs one area and is typical for fillings. General anesthesia, given by mask or IV, keeps you fully unconscious and is used for longer or more complex procedures. Sedation comes in mild, moderate and deep levels and can be oral, inhaled or given by injection or IV. People with severe anxiety are often given a form of sedation to stay calm and comfortable. Ask us which options suit your treatment.
Children and dental fear
Dental fear is most common in young children, particularly between ages 7 and 9. Children with dental anxiety are more likely to get new cavities, have toothaches and need extractions. Parents can help by staying calm and not sharing too many details about what will happen. Pediatric and family dentists are trained to explain procedures in a simple, friendly way, and often let children touch safe tools. Tell us about your child's worries at the first visit. See our kid-friendly dentist care.
Fear should never get in the way of your health. Call (781) 289-3331 and tell us how you feel.
Common questions
How can a dentist help with anxiety?
By explaining what you feel and will feel, for how long, taking frequent breaks, asking permission to continue and adjusting anesthesia so you stay comfortable.
How is severe dental anxiety treated?
Severe anxiety or phobia should be diagnosed and treated by a psychologist, since it can come from another condition. Dentists have limited training in treating it. We may refer you to a psychologist or prescribe anti-anxiety medication when needed.
How common is dental anxiety?
A 2014 study estimated it affects about 36% of people, and a further 12% have extreme dental fear.
How do I know if I have it?
Common symptoms are avoiding or failing to attend appointments, sweating, a racing heartbeat, crying and withdrawal.
Why am I anxious if I have never had a bad experience?
It can come from a new dentist, a friend's or relative's experience or something you saw online. In most cases it is mild.