Patient and parent councelling on orthodontics

2. Presentation
on
• Submitted to :
Dr. Anjuman Ara Akter
Dr. AKM Asad Polash
Dr. Shahina Shoheli
Department of Orthodontics &
Dentofacial Orthopedics
Dental Unit,Rajshahi Medical College
Prepared by:
Name: Md. Kamruzzaman
Batch: 23rd B.D.S.
Roll No. :
Session:2011-2012
'Patient and Parent counseling.'

3. Patient and Parent Counseling:
Patient and parent counseling plays very important role
in curative, preventive or promotional dental health activity.
A dental surgeon is responsible to provide services which
involves the practical use for the benefit of the patient of
theoretical scientific knowledge. By counseling for
prevention of dental disease, a dental surgeon is doing more
service to the patient than by doing extraction, filling or
making dentures. The counseling is a true art of
communication.

4. Definition of Counseling:
A Relation in Which a professional or trained
individuals attempts to help another, so as to
understand and solve his or her difficulties in
psychological adjustment.
Counselor may also advice opine and instruct in
order to direct another's judgment or conduct.

5. Objective of Counseling:
1. Information :
Parent and patient should be informed and made realize
that health is a valuable asset. Scientific knowledge about disease
and its prevention should be disseminated. Patient will take
interest in prevention of diseases.
2. Motivation:
Patient must be motivated about health awareness and
proper treatment. Patient must leave their bad oral habits which
are detrimental to dental health and treatment. As part of
motivation patient may be shown photos and videos of
successful treatment.

6. 3. Guidance:
The people should be guided and their doubts should be
removed. Proper guidance should be given during treatment and
after for better oral hygiene.
4. Encouragement for preventive measure:
Patient should be encouraged to adopt preventive
measure all time.

7. Type of Patient counselling:
1.Directive Counselling:
In this decision are taken by counsellor for patient.
2. Non directive counselling:
In this the counsellor helps the patient in taking decisions. This has
produced best result.
3. Interpretive Counselling:
This is a Highly complicated psychotherapeutic approach which is
not used by dental surgeon. It is used by a qualified and specially
trained psychologist or psychiatrist.

8. Place of Counselling:
For counselling there should be a special room with comfortable
atmosphere equipped with audiovisual aids etc.
Counselling should not be done in dental operatory to avoid
subconscious fear of the dental equipment's etc. in patient‘s mind. It
should not be done in front of other patients as discussion of food habits
is a very personal matter.

9. Contents Of Counselling:
• Patient should be instructed to maintain good oral
hygiene.
• Treatment plan should be discussed with patient in
details. It’s advantage and disadvantage should be also discussed
• Patient should be made aware of all other possible treatments.
• Incase of children instruct the parent not to voice there own fear in
front of children.
• Parents should never use dentistry as a threat or punishment.

10. Who Should give counselling:
Professional Qualification:
Professionally qualified persons with good impressive personality
and good knowledge of the subject are successful counsellors .
preferably a dental surgeon should do the counselling and he or she is
professional authority and has the prestige and status the patient
respects. His or her advise will have greater significance and importance
for the patient.
Personality Qualification:
Personality qualification is also very important for the counsellor. Counsellor
should be sincere, honest and sympathetic who should have the ability to put
patient at ease by his or her friendly manners. Patient should feel free to talk and
discuss his or her dental, dietary and oral hygiene problems.

11. Successful counselling session:
In a counselling session patient should be given new
information and should motivated to follow it. The counsellor
must develop a brief case history and ascertain the cause of
present discomfort and illness. He or she must gain the
confidence of the patient must establish rapport, before giving
advice and help to the patient.
A. Listen to patient:
A counsellor should be a good listener. By listening many
important points can be noted which may help in diagnosis and
management of the patient.

12. B. Let the patient complete what he or she wants to say:
Do not cut the patient statement in half way.
C. Maintain eye to eye contact with the patient:
The facial expression of the patient provides
many clues which helps in his or her management.
Eye to eye contact provides feedback about a patient
unspoken feelings and reaction to their advice.
D. Communicate with patient at his or her level.
E. Encourage to take own decisions:
Let the patients take his or her decisions
F. Make learning effective:
Learning should be made effective.