The Children in the Chair
By the light of a fog-wrapped November evening in Bangalore
In the hushed stillness of a foggy November evening, when the city lay cloaked in a ghost-grey shawl and the scent of burnt leaves curled through the air, Dr. Hajeera sat at her desk. Her journals lay scattered like old maps, the margins scribbled with thoughts half-formed. A cooling cup of cardamom tea sat forgotten beside a yellowing article on pediatric sedation. It was the kind of hour where the world whispers, not speaks.
The wall clock struck elevenâsolemn and slowâwhen the phone rang, sudden and sharp like a snapped wire.
She picked it up with the calm of someone whoâs heard a hundred such calls before, though never quite like this one.
âThis is Dr. Hajeera.â
On the other end: a whisper of a voice, slightly slurred and aching with worry. âHajeera… itâs me. Dr. Azra. Please donât hang up.â
Dr. Azra. Her cousin. Young, bright, and barely a year out of dental school. A firecracker of ambition with hands still unsure in the storm. She was supposed to be fine. She was supposed to be flying. But now her voice trembled like sheâd lost control of the rudder.
âWhatâs happened, Azra?â Hajeera asked, not unkindly.
A long silenceâthen the sound of a truth too heavy to carry.
âI opened a clinic. Nothing fancy. Just a little one-room setup in Hebbal. But the kids, Hajeera⌠the kids. I donât know how to handle them. Four-year-olds, five-year-oldsâthey scream, they squirm, they cry like Iâm some kind of monster. I tried being strict today and⌠I think I scared one. I feel like I failed.â
Dr. Hajeera closed her eyes, picturing the scene. A tiny dental chair in a cramped room. Cartoon stickers peeling off the walls. The stale scent of antiseptic and panic. Azra, probably still in her scrubs, hands trembling around a pediatric mouth mirror. It wasnât just about clinical skills. This was about presence. Poise. The psychology of trust.
She sat back and took a breath. âAzra, you donât manage children with authority. You guide them with empathy. Pediatric dentistry isnât about controlâitâs choreography. A soft science hidden beneath the glint of steel instruments.â
She could hear Azraâs breath steadying.
âFirst, understand where they are. At four to six years old, theyâre in the preoperational stage, according to Piaget. They live in a world of dragons and superheroes, not dental burs and pulpotomies. So donât talk about âinjectionsâ or âneedles.â Give your tools names. The air rotor becomes âMr. Buzzy.â The suction tip is âMiss Thirsty.â Even the slow-speed handpiece? Call it âTooth Tickler.â Make it a story. Youâre not prepping a cavity. Youâre saving the princess trapped inside a sugar castle.â
Azra didnât interrupt. She was listening. You could always tell when someone truly was. Hajeera continued.
âBefore the child ever lies back, use the TellâShowâDo method. Itâs not optional. Itâs gospel. Tell them whatâs coming, show them the instrument on their hand or their fingerânever straight to the mouthâand only then do the procedure. No surprises, no tricks. Children donât forget betrayal, even small ones.â
She paused, letting that settle.
âNow, the parents. Sometimes they help. Often, they donât. Set the ground rules with them before the appointment starts. No whispering things like âIt wonât hurtââbecause that plants the seed of fear. Instead, have them say, âDr. Azra is going to count your teeth today and make them sparkle.â And if theyâre the anxious kind, ask themâgentlyâto wait outside.â
âAnd when the childâs in the chair?â Azraâs voice was smaller now, but grounded.
âLet them sit upright first. Talk to them. About cartoons, pets, dinosaursâwhatever they love. Then, slowly, lower the chair. Not all the way. Give them time. Let them feel like theyâre the ones making the choice. A ceiling-mounted screen playing Peppa Pig? Thatâs gold. Your tone should be slow, soft, sing-song. Think lullaby. Not lecture.â
Azra gave a tired laughâhalf-relieved, half-wrecked. âThey still cry, Hajeera.â
âThey will. And sometimes, they wonât stop. Thatâs when you give them a little power. Tell them, âIf you want me to pause, raise your hand like a superhero.â Youâre giving them control in a world thatâs too big and too shiny and smells too weird. Work in five-minute bursts. Praise them for every little win. âYou did amazing! Youâre braver than Iron Man!â Mean it when you say it.â
âAnd if nothing works?â Azra whispered.
âThen you donât force it,â Hajeera said simply. âReschedule. Offer desensitization visits. Use a puppet, let them explore. Sometimes, it takes three visits to build trust. Sometimes, you refer to a pediatric specialist. Thatâs not failure, Azra. Thatâs knowing your limits. And yes, if the childâs extremely anxious but healthy otherwise, and with proper consent, consider nitrous oxide. Laughing gas can be your quiet allyâitâs safe, effective, and often magical.â
The silence that followed was warm, not empty.
âMake a Brave Tooth Explorer certificate. Keep a stash of stickers, bubbles, tiny toys. These arenât bribes. Theyâre markers of triumph. Children love being told theyâre heroes. And you, Azra, are their guide through the unknown.â
The line stayed quiet for a moment, and then Azra spoke again, steadier now. âThank you, Hajeera. I⌠I needed this.â
âI know,â Hajeera said. âNow sleep. Tomorrow, you start again. Wiser.â
As she hung up the phone, the fog outside thickened, as if the night had folded its arms around her advice. Dr. Hajeera picked up her cup of tea. Cold now. But still fragrant. She took a sip, eyes drifting toward the night, already wondering what other whispered questions the world might bring to her door.
About the Author
Dr. Hajeera Banu is a skilled dentist who graduated from RGUHS in 2014 and has since built a successful career in the field. With a strong focus on implants, restorative dentistry, and aligners, she has honed her expertise to offer her patients the highest level of care. Based in Mysore, India, Dr. Banu runs her own private practice, where she combines advanced dental techniques with a patient-centered approach.
Her passion for dentistry extends beyond her practice; she stays up-to-date with the latest advancements in the field to ensure she delivers the best outcomes. Outside of her professional life, Dr. Banu enjoys blogging, where she shares insights and experiences from her dental journey, as well as her love for cooking and traveling. These interests help to balance her dynamic lifestyle, and she continues to seek personal and professional growth in all aspects of her life.