Dentist fear - need help!

[NoWayNovelli]

Hey there,

I've had a pretty bad phobia of dentists/doctors for years now with an extreme phobia of needles.
I have a hole of some sort in one of my back teeth, and about a year or two ago the dentist didn't say I needed to do anything but brush - needless to say now it's gotten bigger and it starting to be really sensitive and sometimes hurt.
I want to fix it but I'm not mentally prepared to get treatment that needs local anaesthetic/injectable.
If anyone can tell from these photos anything, does it look like I need anything major done?

I'm so stressed about it, thank you in advance...

 

[Zuri Barniv]

That's a big hole. If you don't treat it, bad things will probably happen. Have you considered oral sedatives like Halcion, Ativan or one of those for treatment? I prescribe those for fearful patients and they work wonders.