Re: very nervous patient

From: Mark & Steven Bornfeld DDS (bornfeldmung_at_dentaltwins.com)
Date: 07/22/04 

Date: Wed, 21 Jul 2004 20:01:00 -0400

Lets Connect wrote:
>> Sounds like you have two problems--anxiety and not having a dentist you
>>can get along with.
>
>
> I'd agree with the second point.
>
>
>
>> In some areas you may not have a great selection of dentists who can
>>meet all your needs. In these areas if you can get a highly competent
>>dentist you can consider yourself lucky; getting one with both dental
>>and social skills may not be possible.
>
>
> Probably true. But if you don't look, you don't find. In my opinion,
> any medical professional (regardless of their specialization) should
> aspire to being more than just a "mechanic".
>
>
>> The next question is whether your anxiety is restricted to dentistry or
>>is more generalized. If you are generally anxious you may need a
>>psychological or psychiatric assessment.
>
>
> There is next to no evidence that GAD is more common in the dental
> phobic population (as a "causative factor", that is) than in the
> general population. The above comment may well come across as adding
> insult to injury (albeit unintentionally). Just my two cents worth.

        Getting a good medical history and psychological profile in cases such
as the op's is not "adding insult to injury", it's determining the best
treatment for the patient.
        Most dentists treat patients who are also under psychiatric care.
Knowing how to interact with other clinicians involved in the patient's
care as well as the ability and willingness to make an appropriate
referral is vital to performing optimal clinical care.

Steve 

-- 
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

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