What Happens If You Cry or Panic at the Dentist?

If you panic or cry at the dentist, you’re not alone. Learn what happens, why it occurs, and how sedation and dental anesthesia can help you.

For many people, the fear of the dentist isn’t just “nerves.” It can feel overwhelming, physical, and completely out of your control.

If you’ve ever wondered, “What if I panic? What if I start crying during treatment?” — You’re not alone. These are some of the most common concerns patients have before scheduling an appointment.

dental-anxiety-st-louis
I want to thank everyone at the Dental Anesthesia Center for taking care of me yesterday—Meaghan helped me get the forms filled out correctly and in on time, Daisy for guiding me in and getting me out safely, Dr. Hoffman for taking care of my teeth and dealing with my really terrible gag reflex, and EVERYONE who helps make this happen. I don't know all of your names, but I do know that it takes all of you working together to make my dental care possible and have good results.

I'm always nervous when I first arrive, even though every procedure has had a good outcome. I've never had any pain or excessive bleeding as a result. The one thing I realized yesterday is that all of you are warm, friendly, positive, you have what is called a good vibe, which helps me a great deal.
Response from the owner:Thank you for your kind words and for taking the time to share your experience. We’re so glad our team could help you feel comfortable and supported throughout your visit. Providing a safe, positive environment is very important to us, and your feedback means a great deal. We truly appreciate your trust in our care!
Dr. Thoms and his entire staff at The Dental Anesthesia Center have been absolutely wonderful!! They're all so kind and knowledgeable. I would give them 10 stars if I could!!!
Response from the owner:Thank you so much for your kind words! We truly appreciate you taking the time to share your experience. It means a lot to hear this feedback.
Dr Mike Hoffman is the best dentist I’ve ever been to. His whole practice focuses on the patient’s needs. He is the consumate professional with expertise across the dental spectrum and in anesthesia. I highly recommend him and his practice.
Response from the owner:Thank you for your thoughtful review and recommendation! We’re grateful for your kind words and are proud to provide patient-centered care with a focus on comfort and safety.
Yes, my grandson has nonverbal autism and they took very good care of him.. He had to have some extra extractions which I was concerned about, but everything went very well. Very happy and I thank you all for all the work you did.
Response from the owner:Thank you for your kind words. We’re so glad to hear you had a positive experience and that everything went smoothly. We truly appreciate your trust in us.
I took my son to an appointment today with Dr. Hoffman. We had a great experience from the time we arrived until we departed. The receptionist was very friendly and helpful. The dental assistants were very helpful and polite with my son. The doctor is very kind and patient. They explain everything as we went through the process. We were aware of the cost from the beginning to the end and we're allowed to make decisions about how to handle my child's care and not shocked with additional charges after the fact. My child does not resist going to this office. Great experience.
Response from the owner:Thank you for your kind words! We’re so glad to hear your experience was positive from start to finish. Our team works hard to create a comfortable, transparent, and supportive environment for every patient and family. We truly appreciate you taking the time to share your feedback!

Crying or Panicking at the Dentist Is More Common Than You Think

Dental anxiety exists on a wide spectrum:

  • Mild nervousness before an appointment
  • Avoiding dental care for years
  • Physical panic symptoms (racing heart, sweating, shaking)
  • Emotional overwhelm (crying, fear, feeling trapped)

For some patients, simply sitting in the chair can trigger a fight-or-flight response. This is not a failure on your part. It’s a real, physiological reaction.

Why Panic Happens in the Dental Chair

Understanding why this happens can help reduce some of the fear around it.
Common triggers include:

What If You Know You Won’t Be Able to Handle It?

This is where many patients feel stuck. They think:

  • “I’ll embarrass myself.”
  • “I won’t be able to get through it.”
  • “I’ve tried before and couldn’t do it.”

If that’s your experience, the issue isn’t effort—it’s that traditional dental settings may not be the right fit for you.

Options for Patients with Severe Dental Anxiety

Not all dental care is the same. If you struggle with panic or emotional overwhelm, there are different levels of support available:

Mild to Moderate Anxiety

These can help—but may not be enough for severe anxiety.

Severe Anxiety or Panic (Can’t Tolerate Treatment Awake)

For patients who:

  • Panic in the chair
  • Cry or feel overwhelmed
  • Avoid care for years
  • Have had unsuccessful attempts elsewhere

IV sedation or general anesthesia may be the most appropriate solution.

What Is Sleep Dentistry / Dental Anesthesia?

Sleep dentistry allows you to:

  • Be deeply relaxed or fully asleep
  • Have treatment completed without distress
  • Avoid the experience that triggers panic

This is fundamentally different from trying to “cope” through a procedure. Instead, it removes the barrier entirely.

A Note for Caregivers and Family Members

If you’re helping someone who:

You are not alone in facing this challenge. Specialized dental anesthesia practices are designed specifically for patients who cannot be treated in traditional settings. The focus is on safety, predictability, and reducing emotional distress—for both the patient and the caregiver.

ADHD Dentist St. Louis

Contact The Dental Anesthesia Center Today

If you cry or panic at the dentist, it doesn’t mean dental care isn’t possible for you. It means the approach needs to match your needs.
Contact us today by calling (314) 862-7844 or using our contact form to schedule a dental appointment.

Call Us Today

The first two board-certified Dentist Anesthesiologists in the state of Missouri.

Updated: March 24, 2026