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Dental phobia is a lonely and unattractive condition. People are often unsympathetic thinking that sufferers are 'lazy' or 'dirty' because their teeth are discoloured and perhaps their breath smells.

How Does it Start?

Dental phobia is often a result of bad, painful childhood experiences of visiting the dentist. If these have not been overcome in childhood and a reluctance to visit the dentist carries on into adulthood, then only toothache is likely to force the person to seek treatment thereby reinforcing the feelings that dental treatment is painful.

I know somebody who was extremely phobic. When she was 7 years old she visited the dentist and had to have a tooth extracted and when she came round from the anaesthetic, she vomited. Three or four years later a dentist told her that if she didn't keep her mouth wide open, the drill would go down her throat.

After that, she never went to the dentist voluntarily except when she desperately needed treatment.

Dental Phobia Causes Suffering

One effect of not receiving regular dental check-ups is that plaque builds up on the teeth and eventually gum disease occurs.

People suffering from dental phobia can be in agony from the pain caused by gum disease and consequent mouth ulcers, making eating difficult too. If the gum disease is not treated the bone in the gums shrinks leaving teeth loose and these may eventually fall out.

As well as the physical pain, phobic people also suffer from social embarrassment. They know their teeth look dreadful, even worse if they smoke. They often put their hands in front of their mouth when they smile. If their teeth are loose, they will eat carefully and avoid food that might be difficult to bite or chew.

Make no mistake, somebody with dental phobia does not forget about their teeth. They probably spend a great deal of time everyday thinking and worrying about them.

What Can be Done?

There is little that friends or relatives can do to help anybody suffering from dental phobia unless they can get the person to talk about it. Often a mixture of fear and embarrassment will prevent them doing this.

If you are suffering from dental phobia, what can YOU do to help yourself? You can't forget your fears but you can confront them. The first step is to find a sympathetic dentist. Easier said than done if you are not prepared to ask friends and relatives.

If you really cannot bring yourself to do that, have a look in the Yellow Pages, work out which dentist you will call. Look for the ones that say they are used to nervous or phobic patients. If you can't do it the first time you look, get the directory out again the next day. Keep getting out the Yellow Pages until one day you have worked yourself up to phoning.

When you phone for an appointment, ask to speak to the dentist you will be seeing. Insist upon it. If the dentist isn't prepared to speak to you when he is free, try another dental practice.

When you speak to the dentist, be honest, say you are phobic. Tell her that just phoning has brought on a panic attack. Say that your teeth are in bad condition and that you have severe gum disease. Telling the dentist all this will make you feel better because you know that she won't gasp in horror when she sees your teeth. Actually, no matter how bad your teeth and gums are, the dentist has probably seen far worse so don't let embarrassment stop you seeking treatment.

When you go for the first appointment, take a sympathetic person with you to hold your hand before you go in and to admire your lovely clean teeth when you come out.

If you are in the UK, I would advise paying to go privately to a dentist rather than using a National Health Service one. You are far more likely to receive all the pain killing options available and to be given more time.

What Can You Expect on Your First Visit

When you arrive for your appointment, the dentist will probably talk to you to gauge the extent of your phobia. This is not the time to be big and brave - be absolutely honest about your fears, that way the dentist can help you.

Then there will be an examination. He will look at your teeth, probably put a finger on each one and try to 'wobble' them to see if any are loose. Then an x-ray of your mouth will be taken.

If you can cope on the first visit, the dentist might do a little cleaning. That will give you a tremendous psychological boost because you will leave the dental surgery able to smile freely, maybe for the first time in years.

After that, your dentist will probably want you to visit frequently. This will help to break down your phobia.

Once you confront your fears and see a dentist, you will feel better than you have done in years because you will have given the problem of your teeth and gums to a professional. You won't have to cope alone anymore.

Copyright © 2001 by Carol Fisher