For many patients, dental fear is not just about pain, needles, or the sound of the drillits about the loss of control. Sitting in the dental chair can evoke intense feelings of powerlessness, making even routine care feel emotionally overwhelming. At McLevin Dental in Scarborough, we recognize that fear often stems from subtle power dynamics between patients and providersand understanding this is the first step toward creating a more compassionate and empowering dental experience.
In this blog, we explore how power dynamics shape dental fear and what patients and dentists can do to restore balance and trust.
What Are Power Dynamics in Dentistry?
Power dynamics refer to the perceived imbalance between the authority of the provider (the dentist) and the vulnerability of the patient. In a dental setting, these dynamics can feel amplified because:
The dentist has technical knowledge and tools the patient doesnt.
The patient is reclined, unable to speak freely or move easily.
The dentist initiates and controls the procedures pace and flow.
The patient may feel judged about their oral health or choices.
For individuals with anxiety, trauma histories, or control-related fears, these dynamics can trigger deep emotional discomforteven before a procedure begins.
How Power Imbalance Feeds Dental Fear
When patients feel like they dont have a say in whats happening, fear intensifies. Common emotional responses include:
Helplessness: Feeling like you cant stop the procedure once it starts.
Embarrassment: Worrying that your oral health will be criticized.
Silencing: Being unable to speak or ask questions while tools are in your mouth.
Fear of being misunderstood: Not feeling heard when expressing discomfort.
These emotional stressors are just as real as physical discomfort and often lead to avoidance of dental care altogether.
Restoring Balance: How Dentists Can Reduce Fear
At McLevin Dental, we take deliberate steps to address power dynamics and give patients back a sense of control:
1. Prioritizing Informed Consent
We never assume consent. Before starting any procedure, we explain whats going to happen, why its needed, and all available optionsempowering you to make informed decisions.
2. Offering Communication Cues
We establish a stop signallike raising a handso you can pause treatment at any time. This simple gesture gives you a voice, even when you cant speak.
3. Explaining, Not Commanding
Instead of issuing instructions, we invite collaboration:
Were about to begin the cleaning. Would you like a moment before we start?
This approach reinforces that youre in charge of your body and your comfort.
4. Avoiding Judgment
We focus on solutions, not blame. Whether its been six months or six years since your last visit, we approach your care with respect and understanding.
What You Can Do as a Patient
If youre aware that power imbalance plays a role in your dental fear, heres how you can reclaim agency:
1. Communicate Your Needs Clearly
Let your dentist know if youve had negative experiences or fear losing control. A quality dental team will listen and adapt.
2. Ask Questions
Dont hesitate to ask about tools, timelines, or procedures. Understanding whats happening helps shift fear into informed calmness.
3. Set Boundaries
Its okay to say:
Id like you to explain each step as you go.
Please dont recline the chair all the way at first.
I need a short break halfway through.
Your needs matter.
4. Bring a Support Person
A trusted friend or family member can help you advocate for yourself and feel grounded during the visit.
Creating Safe, Empowered Experiences at McLevin Dental
We believe every patient deserves to feel safe, heard, and respected. By recognizing how power dynamics can impact dental fear, weve created a practice environment designed to return control to youone compassionate appointment at a time.