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"Often a child's initial visit to the dentist is an urgent response – they have been in pain and need some work – so that initial memory is connected with pain. This can set up an anxiety or phobia that lasts for the rest of their life. "
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The director also stylized the film to reflect the lack of point-of-view that the characters would experience. Meirelles said several actors he talked to were intimidated by the concept of playing characters without names: "I offered the film to some actors who said, 'I can't play a character with no name, with no history, with no past. With Gael (García Bernal), he said, 'I never think about the past. I just think what my character wants.'"
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