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The importance of communication in dentistry

From Volume 44, Issue 8, September 2017 | Pages 774-780

Authors

Andrea Waylen

PhD

Senior Lecturer in Social Sciences, School of Oral and Dental Sciences, University of Bristol, Bristol BS1 2LY, UK

Articles by Andrea Waylen

Abstract

Abstract: Good communication between patient and dentist is associated with increased efficiency and more accurate diagnosis, improved patient outcomes and satisfaction and less likelihood of complaints or litigation. Communication is also a complex (and clinical) skill but, interestingly, its importance is not always accepted or valued, either by students or those with more experience.

The aim of this paper is to review the evidence about communication within the context of the dental setting. The need for good communication generally is considered, as is its role in managing anxious patients and in avoiding misunderstanding. Ways in which communication skills can be assessed and updated are also discussed.

CPD/Clinical Relevance: Dentists who spend time communicating effectively with their patients and colleagues are likely to have better interpersonal relationships and a more satisfying working life. This, in turn, is likely to make consultations more efficient and improve patient outcomes.

Article

The single biggest problem in communication is the illusion that it has taken place’ (misattributed to George Bernard Shaw but probably originating from William H Whyte (Quote Investigator).1

One comment that the author has often received in feedback from dental students is ‘Why do we have to learn about communication – what does it have to do with dentistry?’ Attempts to convince students that communication is a clinical skill and one that is well worth developing, can fall on deaf ears; similarly, evidence that a considerable part of dental litigation is concerned with miscommunication and misunderstandings rather than clinical malpractice2,3 may be met with scepticism.

In order to answer criticisms such as these, one ought to consider communication theory and the literature on communication in healthcare, as well as, perhaps, personal experience. If we stop, for a moment, to think about whether communication events are always successful and whether the intended message is always received or that misunderstandings are ‘never’ events, then the need for modification or improvement of communication skills may become apparent.

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