PHOBIAS ASSOCIATED WITH

DENTISTRY

PRESENTED BY :SNIGDHA THAKURANKIT PRABHAKAR

A persistent, irritational fear of a specific object, activity or situation that leads to a compelling desire to avoid it.

Phobia

Dentobhobia is defined as an unpleasant mental, emotional, or physiologic sensation derived from a specific dental related stimulus.

WHAT IS DENTAL PHOBIA??

How to recognise a patient with dental anxiety or phobia

FEARACTIVATES

SYMPATHETIC NERVOUS SYSTEM

PRODUCING EPINEPHRINE

DILATED PUPIL INCREASED HEART RATE INCREASED BLOOD PRESSURE INCREASED RESPIRATORY RATE

Different phobias related to dentistry

FEAR OF UNKNOWN

FEAR OF DENTAL PROCEDURES

SENSITIVE GAG REFLEX

FEAR OF LOUD NOISE

Feeling Uncomfortable Lying Back In A Dentist's Chair

UNABLE TO BREATHE THROUGH NOSE

Fear of pain

Fear of unknown

It is a phenomenon in which with patients do not wish to accept or meet with anything unfamiliar in terms of any situation.

How to overcome:-In such patients first visit counseling and tell show do technique is advised.

FEAR OF DENTAL PROCEDURES

FEAR OF DENTAL PROCEDURES

Many dental instruments look pointy and sharp.

HOW TO OVERCOME :-

Education and communication is the key.

In treatment areas keep instruments, needle, and the syringe out of patient’s sight

Sensitive gag reflex

People with a sensitive gag reflex may loathe the part of the dentist's visit where those tabs are put in the mouth for the dental X-ray. These days, newer dentist offices offer panoramic X-rays.

Fear of loud noiseDental tools can be really loud, and the noise can stir up fear in some people.

HOW TO OVERCOME :-

Wear Earplugs Noise cancelling head plugs

to block out sound.

 Feeling Uncomfortable Lying Back In A Dentist's Chair

Some people may be uncomfortable with something as simple as lying back in the dentist's chair, due to a bad back or some control issues.

HOW TO OVERCOME:-A simple remedy may be for the dentist to only put the patient half-back so that it's more comfortable or can provide with supporting pillows.

Unable To Breathe Through The Nose

Mouth breathers have phobia that they wont be able to breathe during their dental treatment.

How to overcome :-

Nasal strips to help them breathe

Nitrous oxide to relax the patient

Fear due to previous bad experiences

Previous bad experience.Heard of bad experiences

from family or friends. 50-80% of dental fear and

anxiety happens during childhood/ adolescence.

Fear of painFear of pain is a common phenomenon which stops patient to undergoing dental treatment

Traditional Pain Control Methods

Topical anesthetics Desensitizers Nitrous oxide-oxygen sedation Local anesthetics IV sedation Sedatives/anti anxiety meds General anesthesia

Causes of dental phobia Bad experience:-

History of abuse:-

Uncaring dentist:-

Vicarious learning:-

Post-Traumatic Stress:-

Humiliation