Mindful Dentist
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Abstract
Dental anxiety challenges patients and providers alike, creating barriers to care, increasing pain perception, and increasing the time and effort required to complete treatment. While patient-centered dentistry invites us to care for the person attached to the teeth, many dentists feel ill-equipped to handle the many emotions that arise during dental treatment. Mindfulness and the practices that cultivate it are invaluable to the provision of patient-centered care in four respects: 1) it provides balance to the dental professional during stressful times, 2) it cultivates the qualities of a patient-centered health care provider 3) it guides actions necessary to meet a patient’s needs, 4) it provides techniques that patients can themselves use to find balance during stressful times. All of these fruits of mindfulness practices are demonstrated in three true vignettes of fearful patients who were treated by the author. Video footage of the three stories is also provided.
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References
Orsini CA, Jerez OM. Establishing a Good Dentist-Patient Relationship: Skills Defined from the Dental Faculty Perspective. J Dent Ed 2014;78:1405–15.
Ayers WA. Psychology and Dentistry: Mental Aspects of Patient Care. New York, NY: The Haworth Press, 2005:23
Ayers WA. Psychology and Dentistry: Mental Aspects of Patient Care. New York, NY: The Haworth Press, 2005:59.
Virshup BB, Oppenberg AA, Coleman MM. Strategic Risk Management: Reducing Malpractice Risk Claims Through More Effective Doctor-Patient Communication. Am J Med Quality 1999;14:153–9.
Levinson, W. Physician-Patient Communication, A Key to Malpractice Prevention. JAMA. 1994;272:1619–20.
Rosenzweig S, Reibel DK, Greeson JM, Brainard GC. Mindfulness-based Stress Reduction Lowers Psychological Distress in Medical Students. Teach Learn Med 2003;15:88–92.
Shapiro SL, Schwartz GE, Bonner G. Effects of Mindfulness-based Stress Reduction on Medical and Premedical Students. J Beh Med 1998;21:581–97.
Warnecke E, Quinn S, Ogden K, et al. A Randomised Controlled Trial of the Effects of Mindfulness Practice on Medical Student Stress Level. Med Educ 2011;45:381–8.
Dobkin PL, Hassed CS. Mindful Medical Practitioners. Geneva, Switzerland: Springer, 2016:.20.
Dobkin PL, Hassed CS. Mindful Medical Practitioners. Geneva, Switzerland: Springer, 2016:12.
Lazar SW, Kerr CE, Wasserman RH, et al. Meditation experience is associated with increased cortical thickness. NeuroReport 2005;16:1893–7.
Moore A, Gruber T, Derose J, et al. Regular, brief mindfulness meditation practice improves electrophysiological markers of attentional control. Front Hum Neurosci 2012;6:1–15.
Tang YY, Lu Q, Geng X, et al. Short-term meditation induces white matter changes in the anterior cingulate. Proc Natl Acad Sci U S A. 2010;107:15649–52.
Fox KC, Nijeboer S, Dixon ML, et al. Is Meditation Associated with Altered Brain Structure? A systematic Review and Meta-analysis of Morphometric Neuroimaging in Meditation Practitioners. Neurosci Biohehav Rev 2014;43:48–73.
Mercer SW, Maxwell M, Heaney D, et al. The Consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Fam Pract 2004;21:699–705.
Vergnes JN, Apelian N, Bedos C. What about Narrative Dentistry?” JADA 2015;146:398–401.
Yarascavitch C, Regehr G, Hodges B, et al. Changes in Dental Student Empathy During Training. J Dent Ed 2009;73:509–17.
Sherman JJ, Cramer A. Measurement of Changes in Empathy During Dental School. J Dent Ed 2005;69:338–45.
Krasner MS, Epstein RM, Beckman H, et al. Association of an Educational Program in Mindful Communication with Burnout, Empathy, and Attitudes Among Primary Care Physicians. JAMA 2009;302:1284–93.
Farb NAS, Anderson AK, Mayberg H, et al. Minding One’s Emotions: Mindfulness training Alters the Neural Expression of Sadness. Emotion 2010;10:225–33.
Yarascavitch C, Regehr G, Hodges B, et al. Changes in Dental Student Empathy During Training. J Dent Ed 2009;73:509–17.
Sherman JJ, Cramer A. Measurement of Changes in Empathy During Dental School. J Dent Ed 2005;69:338–45.
Farb NAS, Anderson AK, Mayberg H, et al. Minding One’s Emotions: Mindfulness training Alters the Neural Expression of Sadness. Emotion 2010;10:225–33.
Dobkin PL. Mindfulness and Whole Person Care. In: Hutchinson TA, ed. Whole Person Care: A New Paradigm for the 21st Century. Geneva, Switzerland: Springer 2011:69.
Lovas JG, Lovas DA. Rapid Relaxation- Practical Management of Preoperative Anxiety.J Can Dent Assoc 2007;73(5):437-40.