The Fearful Dental Patient A Guide to Understanding and Managing 1st Edition by Arthur Weiner ISBN 0813820847 9780813820842

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Product details:

ISBN 10:       0813820847
ISBN 13: 978-0813820842
Author:         Arthur A. Weiner

The Fearful Dental Patient: A Guide to Understanding and Managing helps dental professionals understand the basics of fear, anxiety and phobias and the role these emotions play in creating negative behavior within the dental environment. The text contains a variety of modalities that help identify dental fear and phobia, as well as chair-side techniques and practical advice aimed at improving patient cooperation and ensuring treatment compliance.

Chapter topics include the basic origins of patient fear and anxiety, how to indentify dental anxiety and varied approaches to managing fearful patients of any age.  Approaches discussed employ behavioral, pharmacological, sedation and even hypnotic techniques, specifying combinations where required. Chapters also include coverage of a wide range of patients, including those with psychiatric comorbidities and special healthcare needs. The entire dental team will greatly benefit from the proven methods and practical guidance presented to better understand and treat fearful dental patients.

Key Features:

• Written by practicing dentists with vast experience treating fearful patients
• Provides practical advice on how to minimize patients’ anxiety and build the doctor-patient relationship
• Discusses a variety of management techniques both individually and in conjunction with other strategies
• Includes sample questionnaires for use in practice to assess levels of fear and anxiety—available for download at wiley.com/go/weiner

The Fearful Dental Patient: A Guide to Understanding and Managing 1st Table of contents:

1. The Basic Principles of Fear, Anxiety, and Phobia: Past and Present

   • Introduction
   • Major Etiological Models to Explain Anxiety
   • Behavioral Indicators of Anxiety
   • Nature of Dental Anxiety
   • Echelons of Expression
   • Timing of Dental Anxiety
   • Severity
   • Differentiating Psychological (Exogenous) Anxiety from Medical (Endogenous) Anxiety
   • Natural History of Endogenous Anxiety
   • Phobias
   • Causes of Phobias
   • Summary
   • Note
   • References

2. Determinants Associated with Creating Fearful Dental Patients

   • Introduction
   • Prevalence of Dental Fear
   • Direct Conditioning
   • The Approach–Avoidance Conflict Theory
   • Exploring the Literature Cataloging the Common Findings of Each of the Determinants of Dental Fear
   • Patient Control
   • Gender, Age, Socioeconomic, Life Status Determinants of Dental Fear
   • Practitioners’ Determinants of Dental Fear
   • Oral Health, Quality of Life, and the Impact of Dental Anxiety
   • Summary
   • References

3. Factors Affecting the Psychological Collection and Identification of the Fearful Dental Patient

   • Introduction
   • Prerequisite Components for Enhanced Communication Skills
   • Establishing a Positive Patient–Dentist Relationship
   • Two-way Communication
   • Accommodating Patient–Dentist Priority Differences
   • The Initial Patient–Dentist Consultation
   • Practitioner’s Verbal Inquiry and Collection of Past and Present History
   • Summary
   • References

4. Chairside Management of the Fearful Dental Patient: Behavioral Modalities and Methods

   • Introduction
   • The Concept of the Dental Practitioner as a “Facilitator of Change”
   • Step-by-Step Chairside Model for Fear Amelioration in the Frightened Dental Patient
   • Chairside Management Resulting from Patient’s Consultation and Determinants of Fears Elicited
   • Doctor–Patient Relationship and Its Role in Reducing Anxiety and Gaining Treatment Acceptance (by Samuel Shames)
   • Alternative Behavior Modification and Treatment Modalities
   • References

5. The Pharmacological Basis of Pain and Anxiety Control

   • Introduction
   • Local Anesthesia
   • Summary
   • References

6. Hypnosis in Dentistry

   • Introduction
   • What is Hypnosis?
   • The Hypnosis Session
   • Hypnosis in Dentistry—”Hypnodontics”
   • “Informal” Hypnotic Techniques in Day-to-Day Dental Practice
   • An Anchoring Technique for Child Dental Patients—”The High Five Anchor”
   • Conclusions
   • Suggested Hypnosis Societies, Training Pathways, and Contacts for Dentists
   • References

7. Management of Complicated, High-Risk Patients with Psychiatric Comorbidities

   • Introduction
   • Overview: Behavioral Science and the Complicated Patient
   • Posttraumatic Stress Disorder
   • Major Depressive Disorder and Related Mood Disorders
   • Chronic Pain Disorder and Related Somatoform Disorders
   • Schizophrenia
   • Personality Disorders
   • Substance Use Disorders
   • Eating Disorders
   • General Management Recommendations
   • References

8. Understanding and Managing the Fearful and Anxious Child

   • Introduction
   • What is New in Behavior Management?
   • Birth to Two Years Old
   • Two Years Old
   • Three to Six Years Old—The Preschool Age
   • Six to Twelve Years Old
   • The Teenage Years—Adolescence
   • When Does Fear or Anxiety First Develop in Children?
   • Basic Behavior Management Techniques
   • Should the Parent Remain in the Operatory?
   • Pharmacological Management of Behavior Problems
   • Suggested Reading
   • References

9. The Geriatric Patient: Psychophysiological Factors Associated with Aging and Dental Anxiety

   • Introduction
   • Understanding the Changes Associated with Aging
   • Managing the Risk Factors Associated with Aging
   • Summary
   • References

10. Fear and Anxiety Management for the Special Needs Patient

• Introduction
• Let Us Meet and Evaluate Your Patients
• Sensory Perception Modalities for Treatment and Communication
• Alternative Modalities for Anxiety Management
• Case Management Presentation

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