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Odontophobia: Fear of the dentist, diagnosis and treatment

Odontophobia, also known as extreme fear of the dentist, is a common problem that affects a large number of people around the world. This fear goes beyond simple apprehension or nervousness about a visit to the dentist; It is an intense and irrational anxiety that can significantly interfere with the oral health of those who suffer from it. In this article, we will explore in detail what odontophobia is, its causes, symptoms and how it can be treated effectively.

What is odontophobia?

Odontophobia is a type of specific phobia, characterized by an intense and persistent fear of dental procedures or simply the idea of going to the dentist. People who suffer from odontophobia often experience extreme levels of anxiety just at the thought of a visit to the dental office, which can lead them to avoid dental care altogether, even when they experience oral pain or discomfort.

This Disproportionate fear may be associated with different factors, such as previous traumatic experiences at the dentist, extreme sensitivity to pain, fear of losing control during treatment or even fear of physical discomfort or sounds and smells involved in a dental procedure.

Symptoms of odontophobia

The symptoms of odontophobia can manifest themselves in different ways, and vary in intensity from one person to another. Some of the most common symptoms include:

  • Extreme anxiety or panic attacks before or during a visit to the dentist.
  • Increased heart rate, excessive sweating, and tremors when thinking about a dental appointment.
  • Insomnia or difficulty falling asleep the night before the appointment.
  • Feeling of suffocation or shortness of breath when in the dental office.
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  • Intense emotional responses, such as crying, despair or aggression.

It is important to note that these symptoms not only affect the patient's experience, but can also make the professional's work more difficult. dental problems, prolonging treatment times and compromising long-term oral health.

Causes of odontophobia

Odontophobia can have multiple causes, ranging from traumatic past experiences to psychological factors or even genetic. Some of the most common causes of this extreme fear of the dentist are:

Traumatic experiences

A bad experience at the dentist, such as severe pain during a procedure, lack of communication on the part of of the professional or feelings of helplessness, can leave a significant mark on the person's mind and generate a persistent aversion towards any type of dental treatment.

Fear of pain

Fear of pain. Pain is one of the most common reasons behind odontophobia. Some people have extreme sensitivity to pain or have experienced severe pain in the past during a visit to the dentist, which leads them to over-anticipate pain and avoid any situation that could cause discomfort in the mouth.

Control and vulnerability

The feeling of losing control during a dental procedure or the feeling of vulnerability when being in the dentist's chair can trigger intense levels of anxiety in some people. Lack of information about the procedure, the inability to communicate during treatment, or the feeling of invasion of personal space can also contribute to extreme fear of the dentist.

Treatments for odontophobia

Treatment of odontophobia is essential to overcome this fear and ensure adequate long-term oral health. There are different effective therapeutic approaches to address odontophobia, both psychologically and dentally. Some treatment options include:

Cognitive behavioral therapy

Cognitive behavioral therapy is one of the most effective approaches to treating odontophobia. This therapy focuses on identifying irrational thoughts and changing negative behavioral patterns associated with fear of the dentist. Through techniques such as gradual exposure to feared stimuli, cognitive restructuring, and relaxation training, people can learn to manage their anxiety and confront their fears progressively.

Exposure therapy

Exposure therapy is a technique used to help people confront their fears in a gradual and controlled way. In the case of odontophobia, this therapy involves exposing the patient to situations related to the dentist, such as seeing images of dental offices, listening to sounds associated with a treatment or even practicing simulated visits to the dentist. Over time, repeated and systematic exposure can reduce anxiety and desensitize the patient to the feared stimuli.

Conscious sedation

In cases of extreme odontophobia, where the patient's anxiety makes it difficult to or makes any type of dental treatment impossible, conscious sedation may be a viable option. This procedure consists of administering sedative drugs to the patient that allow them to relax during the visit to the dentist, maintaining the ability to respond to stimuli and follow instructions. Conscious sedation is a useful tool for those patients who experience overwhelming fear and need a temporary solution to receiving dental care.

Conclusion

In summary, odontophobia is a real problem and significant that can interfere with the oral health and emotional well-being of those who suffer from it. It is crucial to address this fear in a professional and compassionate manner, using effective therapeutic strategies and providing a safe and empathetic dental care environment. With the right support, people with odontophobia can overcome their fears, take care of their oral health, and enjoy a more positive, healthy relationship with their dentist.