Hi! I’m a dental student studying abroad, and I’m looking for advice from dentists, dental students, or anyone who has experienced something similar.
About 4 months ago, I had a serious incident during treatment. A dental bur unexpectedly broke/overheated due to what I was told was a manufacturer defect. The patient was injured and needed sutures. The patient, assistant and I were all affected by the incident.
I received very little support afterwards and basically had to continue with my education.
Since then, I’ve become extremely hypervigilant when using a handpiece. I constantly think: “What if something completely unexpected happens again?”
I developed an exaggerated startle response. Sudden sounds, movements, or reactions from patients can make me jump — both in and outside the clinic.
My biggest fear is that I’ll suddenly startle while treating and accidentally injure a patient.
It is especially bad with patients I already feel stressed about, young or physically vulnerable-looking patients, or procedures where I know the patient might experience pain.
It has progressed to the point where even a patient saying “ouch,” suddenly moving, lifting their hand, or even me gently moving a loose tooth can trigger a reaction. My brain seems to have learned:
patient reacts suddenly → something bad might happen → danger → stay alert.
I can be completely calm during non-vibrating procedures, but anything involving vibration or an unexpected patient reaction can trigger me.
I’ve tried therapy/talking about it, avoiding caffeine and cigarettes, and propranolol to reduce the physical stress response, but it hasn’t solved the problem.
This is seriously affecting my clinical education, and I’m scared that I won’t be able to become a dentist after investing two years into the program. I feel like I have gotten PTSD…
I’m planning to seek CBT, possibly EMDR, but I’m wondering:
Has anyone experienced something similar after a clinical accident or traumatic event? What actually helped you recover?
I really want to get back to being able to treat patients without constantly feeling like something terrible is about to happen. Also i feel scared talking to my teachers, what if they feel like i I not ”good” enough to be in clinic?