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Community Dentistry 
The Management of a Muslim Patient 
Samy Darwish 
Wahidah/Denty/Khairunnisaa/Nurul ‘Adilah
Content Page 
Objectives 
Summary of Article 
Relevance to OHTs in Singapore 
Prayer 
Fasting 
Hijab/Tudung 
Gender issue 
Dental materials 
Summary- learning points 
References 
Cultural Competence: The Management 
of a Muslim Patient 
3
Objectives 
Explain how cultural competency is important to the 
provision of oral health care in Singapore 
To provide insight on managing a Muslim patient 
Focus on certain points relevant to Oral Health Therapists 
in Singapore 
Cultural Competence: The Management 
of a Muslim Patient 
4
Article - Summary 
This article provides 
knowledge of the normal 
practices and belief of 
Muslims and explains rituals 
done by Muslims that may 
affect dental treatment 
offered. 
It is necessary for us to 
manage Muslim patients well, 
due to the significance of 
Singapore’s multi-racial & 
multi-religious population. 
Cultural Competence: The Management 
of a Muslim Patient 
5
Relevance to us, as OHTs 
 encounters with 
Madrasah students 
✔ operator-patient 
relationship 
cultural 
competence and 
understand certain 
actions or 
decisions made by 
patient 
effective patient 
care to meet 
standards of 
patient 
Cultural Competence: The Management 
of a Muslim Patient 
6
Prayer 
Friday prayers (for males only) 
Management: 
Appointments may have to be short/fast 
Avoid afternoon appointments 
Cultural Competence: The Management 
of a Muslim Patient 
7
Fasting 
Yearly practice in the month of Ramadhan 
Lasts for 29-30 days 
Issues with dental treatment during fasting 
month: 
Wrong diagnosis of malodour 
Cultural Competence: The Management 
of a Muslim Patient 
8
Fasting 
Refusal for certain procedures 
LA 
Extraction 
Refusal for dental treatment 
Accidental swallowing of water 
Foreign object in mouth 
Cultural Competence: The Management 
of a Muslim Patient 
9
Fasting 
Management: 
Comply to patient’s belief 
Eg: if patient believes that brushing/flossing will invalidate their 
fast, operator has to accommodate without compromising the 
patient’s oral health 
Reschedule appointment 
Postpone certain dental treatments 
Cultural Competence: The Management 
of a Muslim Patient 
10
Hijab/Tudung 
Management: 
Ask for consent to remove hijab (if necessary) 
Cultural Competence: The Management 
of a Muslim Patient 
11
Gender issue 
Cultural Competence: The Management 
of a Muslim Patient 
12 
Management: 
Find out if patient has any 
request 
Eg: for staff of the same 
gender
Gender issue 
Management: 
Operator has to be cautious when treating 
Muslim patients of the opposite gender; 
minimize direct skin contact, maintain 
professional physical proximity 
Cultural Competence: The Management 
of a Muslim Patient 
13
Dental Materials 
Prohibited materials: 
Alcohol based mouthwashes 
Porcine materials- bone grafting 
Gold restorations for males; crowns 
Management: 
Provide all treatment options, allow patient to make own decision 
Inform patient of the materials if they are not aware 
Respect patient’s decision/wish 
Cultural Competence: The Management 
of a Muslim Patient 
14
Conclusion 
Dental professionals should be aware of religious and 
cultural rituals that affects management of patient in order 
to treat the patient with empathy and understanding 
We should be open-minded to culture-specific patient 
opinions and health beliefs, and acknowledge how it 
affects dental and medical decision making in everyday 
life 
Cultural Competence: The Management 
of a Muslim Patient 
15
Thanks for listening! 
Cultural Competence: The Management 
of a Muslim Patient 
16
References 
http://www.bu.edu/bhlp/Resources/Islam/health/guidelines.html# 
Respect 
TIPS FOR DENTAL CARE DURING FASTING, Reported by 
Tuti Ningseh Mohd Dom & Shahida Mohd Said 
http://dentalzara.com/v1/index.php?option=com_content&view= 
article&id=77:dentalcare-during-fasting&catid=56:dental-story-category& 
Itemid=91 
http://www.freedentistfinder.com/articles/257/Muslims-Need- 
Special-Oral-Care-During-Holy-Month-of-Ramadan.html 
http://www.dimensionsofdentalhygiene.com/ddhright.aspx?id=13 
230#.UK9zVo5BoTN 
Cultural Competence: The Management 
of a Muslim Patient 
17

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Dental Management of a Muslim Patient

  • 1. Community Dentistry The Management of a Muslim Patient Samy Darwish Wahidah/Denty/Khairunnisaa/Nurul ‘Adilah
  • 2. Content Page Objectives Summary of Article Relevance to OHTs in Singapore Prayer Fasting Hijab/Tudung Gender issue Dental materials Summary- learning points References Cultural Competence: The Management of a Muslim Patient 3
  • 3. Objectives Explain how cultural competency is important to the provision of oral health care in Singapore To provide insight on managing a Muslim patient Focus on certain points relevant to Oral Health Therapists in Singapore Cultural Competence: The Management of a Muslim Patient 4
  • 4. Article - Summary This article provides knowledge of the normal practices and belief of Muslims and explains rituals done by Muslims that may affect dental treatment offered. It is necessary for us to manage Muslim patients well, due to the significance of Singapore’s multi-racial & multi-religious population. Cultural Competence: The Management of a Muslim Patient 5
  • 5. Relevance to us, as OHTs  encounters with Madrasah students ✔ operator-patient relationship cultural competence and understand certain actions or decisions made by patient effective patient care to meet standards of patient Cultural Competence: The Management of a Muslim Patient 6
  • 6. Prayer Friday prayers (for males only) Management: Appointments may have to be short/fast Avoid afternoon appointments Cultural Competence: The Management of a Muslim Patient 7
  • 7. Fasting Yearly practice in the month of Ramadhan Lasts for 29-30 days Issues with dental treatment during fasting month: Wrong diagnosis of malodour Cultural Competence: The Management of a Muslim Patient 8
  • 8. Fasting Refusal for certain procedures LA Extraction Refusal for dental treatment Accidental swallowing of water Foreign object in mouth Cultural Competence: The Management of a Muslim Patient 9
  • 9. Fasting Management: Comply to patient’s belief Eg: if patient believes that brushing/flossing will invalidate their fast, operator has to accommodate without compromising the patient’s oral health Reschedule appointment Postpone certain dental treatments Cultural Competence: The Management of a Muslim Patient 10
  • 10. Hijab/Tudung Management: Ask for consent to remove hijab (if necessary) Cultural Competence: The Management of a Muslim Patient 11
  • 11. Gender issue Cultural Competence: The Management of a Muslim Patient 12 Management: Find out if patient has any request Eg: for staff of the same gender
  • 12. Gender issue Management: Operator has to be cautious when treating Muslim patients of the opposite gender; minimize direct skin contact, maintain professional physical proximity Cultural Competence: The Management of a Muslim Patient 13
  • 13. Dental Materials Prohibited materials: Alcohol based mouthwashes Porcine materials- bone grafting Gold restorations for males; crowns Management: Provide all treatment options, allow patient to make own decision Inform patient of the materials if they are not aware Respect patient’s decision/wish Cultural Competence: The Management of a Muslim Patient 14
  • 14. Conclusion Dental professionals should be aware of religious and cultural rituals that affects management of patient in order to treat the patient with empathy and understanding We should be open-minded to culture-specific patient opinions and health beliefs, and acknowledge how it affects dental and medical decision making in everyday life Cultural Competence: The Management of a Muslim Patient 15
  • 15. Thanks for listening! Cultural Competence: The Management of a Muslim Patient 16
  • 16. References http://www.bu.edu/bhlp/Resources/Islam/health/guidelines.html# Respect TIPS FOR DENTAL CARE DURING FASTING, Reported by Tuti Ningseh Mohd Dom & Shahida Mohd Said http://dentalzara.com/v1/index.php?option=com_content&view= article&id=77:dentalcare-during-fasting&catid=56:dental-story-category& Itemid=91 http://www.freedentistfinder.com/articles/257/Muslims-Need- Special-Oral-Care-During-Holy-Month-of-Ramadan.html http://www.dimensionsofdentalhygiene.com/ddhright.aspx?id=13 230#.UK9zVo5BoTN Cultural Competence: The Management of a Muslim Patient 17

Editor's Notes

  1. Frequent encounters with Madrasah students Muslim Religious School in HPB To build better operator-patient relationship Able to increase cultural competence and understand certain actions or decisions made by patient For effective patient care executed with a level of respect and dignity they deserve, that are being perceived as comfortable and meeting their standards Retain pts so that they stay on for their full length of treatment that they need Avoid stereotyping, treat as individuals
  2. Clinic experience
  3. LA: some pts may perceive LA to be intake of fluid therefore invalidating their fast EXO: accidental swallowing of blood Accidental swallowing of water (water spray from triple syringe/handpiece) Antibiotic prophylaxis- invalidate fast so pt may request to postpone appt until after ramadhan
  4. Eg: Advise patient to brush their teeth after their pre-dawn meal before starting their fast
  5. Ask the class if they have any problems treating madrasah girls?
  6. In Muslim culture men and women do not mix freely. Some men/women are okay with treatment by opp gender, some may feel more comfortable if there is another person with them, some prefer same gender (if can choose) Denty’s case.
  7. Cultural norm to avoid direct eye contact and direct skin contact with opp gender. Operator not to take offence if patient refuses hand shake/ avoid eye contact when talking/OHI