Understanding the Link Between Childhood Trauma and Dental Anxiety

Dental fear is a common emotional response characterized by feelings of anxiety, increased heart rate, sweating, dizziness, feelings of unreality, or nausea. For many individuals, this fear leads to avoiding dental visits or experiencing overwhelming distress when they are at the dentist's office. A significant factor contributing to dental anxiety is past painful experiences at the dental clinic. Studies indicate that between 8% and 20% of children and adolescents suffer from dental fear severe enough to meet diagnostic criteria.

Recent research, published in BMC Oral Health, explores how stressful childhood experiences—such as experiences with violence, divorce, abuse, or bullying—are associated with increased dental fear later in life. The study surveyed over 5,800 adolescents aged 13–17 years and found that those exposed to childhood stressors are markedly more likely to develop dental fear. Notably, the link was stronger among girls.

The research highlights that traumatic childhood incidents can influence emotional responses during dental treatments. Patients, especially those with a history of insecurity, can feel vulnerable lying on their backs while a dentist works inside their mouth, which may trigger anxiety rooted in past trauma. Psychologist Lena Myran emphasizes that many patients with adverse childhood experiences find dental procedures particularly challenging.

Dental clinics have started addressing this issue by creating specialized services, such as the "Safe Children in Dental Treatment" program, which trains dental professionals on handling anxious young patients. Open communication, where patients are encouraged to share their fears and experiences, can help alleviate anxiety. Myran advises that simply informing the dentist about one's fear can significantly improve the treatment experience.

The study also reveals that girls, who statistically experience higher rates of dental fear and mental health issues like anxiety and depression, are more vulnerable to the effects of childhood trauma in dental settings. Recognizing these links can lead to more compassionate, tailored dental care and better health outcomes.

It is important to note that this research shows a correlation rather than causation. Painful childhood experiences do not necessarily cause dental fear but are associated with a higher likelihood of developing it. Interdisciplinary approaches combining dental care and psychological support can be effective in managing and reducing dental anxiety, especially among those with traumatic backgrounds.

For individuals struggling with dental fear, especially those with a history of childhood trauma, openly discussing fears with dental professionals is a valuable step. Better understanding and sensitivity from dental teams can foster safer, more positive dental experiences, encouraging regular dental care and ultimately improving oral health.

Source: https://medicalxpress.com/news/2025-09-dentist-childhood-trauma.html