The roots (sorry!) of my fear were, I think, down to a number of things:
- I went in for an extraction at around age 6. This was in the 1970s, very old-school dentist, don't recall having anything actually explained to me beforehand (I think I learned afterwards that I'd had an adult tooth coming through and needed the baby tooth pulled to make room for it), first I knew was this guy coming towards me with a big needle...I had to be forcibly restrained, kicked his assistant, then had the gas mask put onto my face.
(That made me lairy of dentists for a very long time. I remember at school, not long afterwards, having a lesson about 'people and their jobs' and answering questions: 'A nurse is a lady (OK, not very PC, it was the 70s!) who looks after people when they are sick in hospital' kind of thing. And when it came to dentists: 'A dentist is a man who pulls out people's teeth', I wrote. The teacher tried hard to put across to me that dentists help people
look after their teeth; that wasn't quite the impression I had!)
- A bunch of fairly insensitive dentists through my teens and into adulthood. I had one dentist when I was at school who was giving me a filling, and I flinched at the noise of the drill, and he snapped 'Do that again and this drill will go through your cheek!' Not reassuring. I'm especially prone to clamming up and/or crying if faced with dentists who speak abruptly or give me lectures; it's a similar style of communication to what I used to get from my parents at home. They thought it helped make children 'good' if they were scared of you. I doubt if many of the parents of their generation realized how much chronic anxiety their 'good' children ended up with in later life. I suffer from a lot of free-floating anxiety, and a dentist's appointment just gives it something nice to glom onto.
- Also to do with parents: My mother (whom I've only recently started to admit, behaved in a way that would today be described as emotionally abusive) had an obsession with my appearance. About the time I became eligible to pay for my own dental treatment (not coincidental, I'm sure), she developed a thing about my teeth. My canines, upper and lower, have always protruded a tiny bit because of overcrowding. The odd dentist has mentioned this but not been overly concerned as it never affected speaking or eating, but my mother thought it was the most obvious thing about me. If other people didn't notice it (and they usually didn't) she had no qualms about pulling up my top lip and pointing it out to them. Naturally, that made me pretty scared of showing my teeth to anyone, least of all a professional, in case they thought they were equally terrible.
- Another thing is that she lost all her teeth at a fairly early age, and she also had a habit of coming into my room last thing at night, after she'd taken her dentures out, and haranguing me about anything she didn't like that I'd done during the day (and usually, already had a ticking off for). I still cringe at remembering how her gummy voice sounded. The idea of losing my teeth (and possibly ending up sounding like that) freaks me out enough that I've tended to have the feeling I'd rather not go to a dentist than hear the bad news.
- A minor thing: I don't especially get freaked out at the sound of the drill, but when I've had fillings, the thing they used to pack the amalgam in sounds horrible. Goes right through my head.
I think that covers most things. I'm fine with medical situations as I work in a lab, and I don't get freaked out by needles - not these days anyway - I've had blood taken tons of times and been fine with it, and while those roof-of-the-mouth jabs do hurt, they're over quickly enough and it's a blessed relief when the anesthetic kicks in. For me, really, it's much less about the actual treatment than about the psychological side of things.