The document discusses different models of dentist-patient interaction from a psychodynamic perspective. It describes the real relationship as an equal relationship between adults, while the treatment alliance considers the patient's anxieties about treatment merging with the dentist's skills. The transference represents the past and can involve the dentist as a parental figure. Types of interaction are also discussed, including active-passive, guidance-cooperation, and mutual participation. Effective communication between dentist and patient is important to establish understanding and satisfaction with treatment.

1. DENTIST-PATIENT INTERACTION Submitted by : drshabeelpn Royal Dental College

2. INTRODUCTION The aim of continuous dental care is for dentists to be able to make contact with patients in an easy and acceptable manner. For patients who may be described as ‘regular attender's dentists have been able to form and maintain a ‘treatment’ relationship. This enables patients to accept the care which has been negotiated and offered.

3. Psychodynamic explanation of dentist-patient interaction From a psychodynamic viewpoint dental healthcare is a 2-person Endeavour There are three aspects of the psychodynamic model which must be considered in this regard. These are ,first the real relationship, secondly, the treatment alliance and thirdly, the transference.

4. The real relationship The real relationship is an equal and unique relationship between two adults This is a genuine interaction in which the uniqueness of the dentist is complemented by the uniqueness of the patient. Within the adult-to-adult equality of the relationship the dentist will have been chosen by the patient because of his clinical attributes and skills. The real relationship, in this regard, will remain unaffected by any anxieties or concerns the patient may have about dental treatment.

5. The treatment alliance The treatment alliance is an equal relationship between two adults. However, while it possesses the same status equality of the real relationship, it differs. It is not only a development of the real relationship but is affected by the patient's anxieties and concerns with regard to accepting dental treatment. For the first time in the dentist–patient relationship the patient's concerns and anxiety about dental treatment seem to merge with the dentist's clinical and patient management skills.

6. The transference Like the treatment alliance the transference develops with time but unlike the real relationship or the treatment alliance this is not an interaction between adults. The transference represents the past. as the transference represents the past, it sometimes becomes intrinsically associated with regression. The interaction is no longer one of equality between adults but one between the dentist as 'parent' and patient as 'child'

10. Whatever dentist does to patient, patient remain helpless.

11. Mostly, dentist is concerned with operatory part and has nothing to do with prevention of disease.

13. Dentist tell his patient ,what is good for him and expect full cooperation from him.

14. Patient cooperation is prerequisite in this type of relationship.

16. Suited for chronic disease such as dental caries and periodontal disease.

17. Dentist help patient in every sphere.

20. IN COMMUNICATION DENTIST SHOULD NOTE: Patient’s name ,age, family background and, Complaint of patient and his expectation from dentist. Patient’s attribution or his own diagnosis Patient if willing or unwilling to undergo treatment Certain dental habits History of his being to past dentists Medical conditions, especially those which exaggerate dental conditions

21. PATIENT’S SATISFACTION WITH DENTAL CARE It is evident that desirable interaction between dentist and patient leads to more satisfied patients Patients satisfaction has been widely recognized as a principal outcome measure of health care quality

22. Kress in 1988 elaborated three basic questions regarding patients satisfaction What are the factors that affect dental patient satisfaction? How does satisfaction affect the behavior of dental patients? What are the implications for the care provider?

23. conclusion Dental healthcare which acknowledges the role of the real relationship, the treatment alliance and the transference within a dynamic framework, will maintain the equality of the dentist-patient relationship. It is by an appreciation of the complexities of the dentist–patient interaction that the dental health professional will be able to enable patients not only to accept dental care but also to empower them to take responsibility for their own oral health.

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