Mclevin Dental Office

How to Handle Flashbacks in the Dental Chair

Experiencing flashbacks during a dental visit can be deeply distressing and overwhelming. Flashbacks—intense, involuntary re-experiencing of past trauma—can be triggered by sensory inputs such as sounds, smells, or the feeling of being in a vulnerable position. For patients with trauma histories or anxiety disorders, dental visits may unexpectedly evoke these memories, making treatment challenging.

At McLevin Dental Clinic, we are committed to providing trauma-informed care that prioritizes your emotional and physical safety. This blog outlines practical strategies for both patients and dental professionals to effectively manage flashbacks in the dental chair, ensuring a more supportive and healing environment.

Understanding Flashbacks in Dentistry

A flashback is more than just a memory; it’s a vivid, often overwhelming re-experience of traumatic events. In the dental context, common triggers include:

The sound of the drill or suction

The clinical smells of latex or antiseptics

The sensation of reclining or feeling restrained

Unexpected touch or pressure in the mouth

Recognizing these triggers helps in anticipating and managing flashbacks proactively.

For Patients: What You Can Do When a Flashback Occurs

Use Your Agreed-Upon Signal

Before your appointment, arrange a clear signal with your dental team (e.g., raising your hand) that indicates you need to pause or stop immediately.

Practice Grounding Techniques

Bring grounding tools or use simple methods to reconnect with the present, such as:

Naming five things you can see or hear

Feeling your feet firmly on the floor

Holding a comforting object like a stress ball or blanket

Focus on Your Breath

Slow, deep breathing can help regulate your nervous system and reduce panic symptoms.

Request a Break or Change of Pace

Don’t hesitate to ask for a moment to collect yourself, sip water, or sit up if needed.

Communicate Openly

If you feel safe, share with the dentist or staff what’s happening so they can support you appropriately.

For Dental Professionals: How to Support Patients Experiencing Flashbacks

Create a Calm and Predictable Environment

Explain each step before beginning and avoid surprises.

Respect Patient Signals

Stop treatment immediately when a patient uses their agreed-upon signal.

Offer Grounding Support

Encourage grounding techniques or provide comforting items.

Use a Gentle, Reassuring Tone

Calm, slow speech can help soothe heightened anxiety.

Allow Time for Recovery

Give patients space and time to regain composure before continuing or rescheduling treatment.

Coordinate with Mental Health Providers

When appropriate, collaborate with therapists or counselors to support ongoing care.

Preparing Ahead: Preventing Flashbacks

Pre-Appointment Consultation: Discuss your history and triggers with your dental team.

Sedation Options: Consider sedation dentistry for procedures likely to trigger intense reactions.

Bring a Support Person: Having a trusted companion can provide emotional grounding.

Familiarization Visits: Visit the clinic without treatment to build comfort.

Conclusion

Flashbacks in the dental chair are a serious and valid response to past trauma. With open communication, preparedness, and trauma-informed care, patients and dental teams can work together to manage these episodes safely and compassionately.

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