A couple of weeks ago I made a trip
to the dentist. I hate the dentist. I
have notoriously bad teeth and always have. When I was a child the dentist
always said I had soft teeth with weak enamel. Lately I have been reading
accounts of dentist telling other spectrum children that same thing—an interesting
coincidence?
Smells Make Me Nauseous
For me, a visit to the dentist is
assaultive. The smells permeating the air in the office turn my stomach. I don’t
seek the dentist out often; I usually go when I am in pain. But since I am hypo-sensitive to deep pain, I
almost never have a toothache—not anything that would make me seek help. At
least not until there is essentially no tooth or root left to save.
I had to make a dental appointment;
my crown fell out of my mouth. It was
one of my front teeth and I had a mini-pointed vampire looking tooth underneath
the crown. I submit that had it been in a less visible place I would have put
it off for a while.
The office staff was so polite, and
the dentist so friendly and pleasant that I decided I would come back for the
fillings I desperately need. That is why
I found myself there on this occasion—a filling.
Two hours later—yes—two hours my
filling was complete.
Stimming Through the Panic
The dentist was nice enough, but I couldn’t figure out
what was wrong with her. She came in, gave me a shot to numb the area and left
the room! That’s when the panic began.
For reasons that I cannot yet
explain (though I have a theory) I panic when I take pain medication, and anything
that causes a fuzzy or numbing sensation. The needle in my mouth was not
painful at all, but the feeling of numbness had my insides shaking. I was
trying desperately to practice my deep breathing until the numb feeling wore
off, which is always does.
I forgot my earplugs home and had
nothing to squish into little shapes to calm myself down. Since the earplugs are my dual purpose tool,
used to drown out background sounds, and to calm my nerves, I have no need to
carry around an additional stress ball.
Well—I forgot them home, so I rung my hands, and flapped my foot until I
could breathe.
Numbing Agent Wears off too Quickly
By the time the dentist and her
technician returned and began to try to fill the cavity, the pain medication
had mostly worn off. I allowed her to
drill anyway because the pain itself was still mostly tolerable. I did not want another shot of numbness, but
it was wearing off too quickly.
Another shot, and out of the room
they went—again. The cycle started over
I pushed past my panic, the meds started to wear off, and they came back in to
finish filling my tooth. This time I had
pain immediately. The drill shot cold
water into my mouth while she was drilling.
I can’t even brush my teeth with cold water. That drill was excruciating. When it was changed to a drill without the
shooting water, I was able to tolerate it.
How odd? But that too didn’t last very long…
A total of four times it took
repeating this same process with me thinking that the dentist and her staff
were complete idiots. After all don’t
they know that the numbing agent doesn’t last that long. Give me the shot, and hurry—drill!
Through the Pain...
During the final time, once again
the pain medication wore off. I wanted to be out of there, no more shots I
needed this to be over with. I slipped an
elastic pony tail holder out of my hair and slipped it around my wrist. While the dentist drilled I slid and rolled
the elastic band back and forth between my thumb and forefinger. I was able to
ignore much of the pain. I wasn’t
letting this dentist know it hurt; I needed to be done.
At this point it wasn’t really the
pain that was bothering me; it was the drilling. The noise, the vibrations, all shaking and
scratching the inside of my head made my brain feel like it was going to
explode. The bright light that had been
positioned over my face for the past two hours felt like its rays were stabbing
me in the eyeballs—and they were closed.
The last thing the dentist said to
me before I left was, “you will probably be numb for about two more hours, so
don’t eat anything solid until then—so you don’t accidently bite yourself.”
“Um…ok.” I was already not numb!
The whole ordeal took over two
hours—two hours, to get a tooth filled.
Then they wonder why I avoid the dentist at all costs.
Calming Down
I made a B-line for the bathroom,
closed myself in, and took some deep breathes. I splashed water on my face,
which was extremely flushed, and try to calm myself before having to talk to
anyone behind the desk to pay and make my next appointment.
By the time I left I felt
completely assaulted, I was exhausted, and I desperately just wanted to take a
nap. Unfortunately, I had an appointment
with my doctor and was already running late.
After showing up frazzled and
flushed, I explained what happened at the dentist. In the middle of my ranting and raving about
their stupidity he stopped me.
What I learned floored me!
Apparently, everyone does not get
numb immediately just to have it quickly wear off. And it doesn’t usually take four rounds of
shots and two hours to fill a tooth! It
always has for me, and here I go again—it truly never occurred to me that
others did experience the exact same thing.
By now I should know better. I should know to question everything. I
should know that if I feel it, it doesn’t mean they do. If I know it, it does mean everyone knows it.
And if I am thinking it, it doesn’t mean they are thinking it too! So why does it still shock me?
Now I wonder if I am the only one—again.
How many others on the spectrum experience the dentist this way? Does anyone? What about the children? When I
was a child, a visit to the dentist never went well. I dreaded it, and I am sure my mother dreaded
as well. I used to leave angry—angry at my mother (didn’t she know what it felt
like?), angry at the dentist (didn’t she know what it felt like?), and angry at
myself because my terrible teeth, anger, and bad behavior was all my own fault.
How do you tolerate the dentist?
How do your children tolerate the
dentist?
Do they know they may be experiencing it differently? Does the dentist
know?

I have a scary dentist story. I rarely get panic attacks, but when I do I can feel them coming on shortly before it happens. I was at a dentist appointment several months ago and they gave me novacane on both sides of my mouth and then they left the room until it started to numb my mouth. I usually handle novacane fairly well. But this time I could not feel my tongue and I felt like I couldn't swallow. Then my heart started pounding and I felt like I needed to get up and walk around. I remained seated hoping the feeling would pass before they came back. But I kind of remained in that nervous condition of feeling like I couldn't swallow, my heart beating faster than normal, almost of the edge of a panic attack. Then they came back in the room, ready to drill into two of my teeth. So I told them that I sometimes have panic attacks and that the novacane was making me feel like a panic attack could come on at any moment. And they all minimized my concern and said, "Oh, don't worry about that. That's normal. Your heart rate has probably increased a little. It's nothing to worry about." I tried to tell them that it was indeed something to worry about and that if it got worse I could really start freaking out, but they just didn't seem to understand what I was talking about or what a panic attack even was. They kept downplaying it like it was nothing to worry about. I finally convinced them that if I gave a certain signal it means I need to get up and walk around and maybe go outside for a few minutes and get some air. I think they thought I was insane. But I never actually had a full blown panic attack and after about 20 minutes of them working on my teeth the feeling finally went away.
ReplyDeleteIt is rare to have the feeling that a panic attack is coming on but not quite reach the level of a full panic attack. I think it had something to do with the heavy dose of novacane in both sides of my mouth which sent my heart rate soaring and made me feel like my throat was swelling up. In the future, I am going to request a different anesthetic instead of novacane, probably laughing gas.
That happens to me all the time; having the feeling that a panic attack is coming on but not quite reaching the level... many times I do get that feeling that I can't swallow and my throat feels swollen, and then I feel like I won't be able to breathe.
DeleteSame thing happened when I was given Morphine in the ER after a very clumbsy painful fall I took--thought I broke my hip luckily I didn't. I was definitely beginning to have a panic attack. I don't like medication--of any kind, least of all numbing pain meds.
Yes, the dentist is truly horrible. I had two major fillings yesterday and I have still not recovered. Previous visits to the dentist were even worse, but I didn't know I was Aspie then. Yesterday I made sure I did deep breathing and discovered that tapping a regular rhythm on my arm really helped while they were drilling. I felt totally violated and was shaking all the way home. I was then in shock and slept for 2hours. Today I am shut down, my body doesn't respond to my brain, I can't think straight, I am exhausted, anxious and vacant.
ReplyDeleteI had another appointment this past week, but woke up with a horrible sore throat. Normally I would have yelled at myself for whining and went to my appointment anyway, which would have been a disaster.
DeleteThe advantage of now knowing about my Asperger's allowed me to stop and tell myself that I know it would be a bad idea to go, and actually cancel the appointment (without the guilt). I'm very glad I did not go.
Hi, just found your blog.
ReplyDeleteOdd question, but are you bendy? I mean, are you hyper-flexible / double jointed? Just on the off chance that you are, you may want to look up Ehlers-Danlos Syndrome if you don't already know about it. An odd thing about EDS is that anesthetics don't work very well (I have to get tons of shots at the dentist and I STILL feel pain. Also, I'm hypersensitive to pain.) There is no proof, but people in the EDS community have noticed that an awful lot of EDSers are themselves autistic or have family members that are autistic. That's what led to my diagnosis of Asperger's at the "late" age of 28. :D Great blog, by the way!
That is funny I am quite bendy! LOL Our neighbors daughter was just commenting on how my thumbs can actually bend backwards at the joints. So, that is kind of interesting I will have to look up EDS.
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