Centore Linda, Reisner Lori, Pettengill Craig A
Department of Preventive and Restorative Dental Sciences, University of California at San Francisco School of Dentistry, USA.
J Calif Dent Assoc. 2002 Jul;30(7):512-9.
Early assessment of problem patient behaviors can be a complex and time-consuming task. These negative behaviors can frequently interrupt and misdirect treatment goals. Most dentists, due to private practice demands, do not have the time and training to assess these behaviors. The emotional stability of each patient is taken for granted. Subtle negative behavioral clues can be detected during medical history taking and the initial patient interview. Current prescription medications can also provide clues concerning past or current treatment for depression, anxiety, psychiatric problems, or substance abuse. The burden of properly assessing behaviors and their impact on dental treatment rests on the dentist's acumen in history taking. All practices have some difficult patients. It is important that dentists recognize patients who have special needs such as those with high anxiety, dependency, depression, obsessional somatic focus, or prior negative dental experiences.
对有问题的患者行为进行早期评估可能是一项复杂且耗时的任务。这些负面行为常常会干扰并误导治疗目标。由于私人执业的要求，大多数牙医没有时间和培训来评估这些行为。每个患者的情绪稳定性都被视为理所当然。在病史采集和初次患者面谈期间，可以检测到细微的负面行为线索。目前正在服用的处方药也可以提供有关过去或当前治疗抑郁症、焦虑症、精神问题或药物滥用的线索。正确评估行为及其对牙科治疗的影响的重担在于牙医在病史采集中的敏锐洞察力。所有诊所都会遇到一些难对付的患者。牙医识别出有特殊需求的患者很重要，比如那些高度焦虑、依赖、抑郁、过度关注躯体、或有过负面牙科经历的患者。
