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PSYCHOTHERAPEUTIC PREPARATION FOR ORTHOPEDIC TREATMENT OF
DENTAL PATIENTS AND ADAPTATION TO PROSTHETICS
1
Sultanov Shoxrux Xabibullayevich
2
Turayev Bobir Temirpulotovich
3
Qayumov Shahobiddin Shavkat o‘g‘li
3
Shamsiyev Muxammad Ergash o‘g‘li
3
Toshmurodov Javohir Botir o‘g‘li
1
Doctor of Science, SciencesDepartment of Therapeutic direction No.3, Tashkent State Dental
Institute, Tashkent, Uzbekistan
2
Assistant of the department of psychiatry, medical psychology and narcology, Samarkand State
Medical University, Samarkand, Republic of Uzbekistan.
3
Student of group 409 of the dentistry faculty of Samarkand State Medical University,
Samarkand, Republic of Uzbekistan.
https://doi.org/10.5281/zenodo.14647746
Abstract.
A visit to the dentist is usually accompanied by intense emotional stress in many
patients. The reaction to previous manipulations is represented by emotional stress in the dental
office. A constant psycho-emotional reaction to pain, negative experience of previous treatment
and fear of intervention lead to patients seeking dental care late.
Key words:
dental patients, orthopedic treatment, psychotherapeutic preparation,
emotional stress, psycho-emotional attitude.
Introduction.
In addition to providing specialized orthopedic care, the dentist is tasked
with adjusting the mental state during treatment, taking into account the individual characteristics
of the patient. The content and direction of psychotherapy is primarily determined by the mental
and somatic state of the patient, his personal characteristics and the consequences of the disease.
Accordingly, three main stages of psychotherapy are distinguished [1-3].
At the first meeting with the patient (consultation), the doctor sets the task of calming him
down, instilling confidence in the successful results of dental treatment.
In the next period of communication, a relationship is created for the adequate perception
of therapeutic manipulations, the correct ideas about the types of orthopedic structures are formed,
the meaning and significance of therapeutic measures are explained [4-6].
After the end of treatment, psychotherapy should be aimed at forming a new direction of
the patient's behavior and a worthy attitude to dental health.
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Many somatic diseases are accompanied by deviations in the psyche of patients. Against
the background of concomitant diseases, they are more prone to depression than somatically
healthy people. Depression, in turn, affects the execution of medical prescriptions. Any improper
effects of a dentist can cause psychotravma in a patient with direct and indirect consequences [7-
11]. Direct effect refers to the direct reaction of the div, which is manifested in the exacerbation
of the joint disease. With indirect actions, disorders in the patient's behavior appear, in particular,
non-compliance with the doctor's recommendations [12]. It is necessary to gain the patient's trust
and make compromises in solving his problems, i.e.increase the level of communicative tolerance.
Sometimes, before starting orthopedic treatment, it is necessary to visit 2-4 times for such
communication and communication [13-16].
The purpose of this study was to assess the role of psychotherapeutic training of patients
with joint diseases in the period of orthopedic treatment and adaptation to prostheses. The entire
contingent of patients received for treatment (100 people) was conditionally divided into the
following groups [17-23].
The" smart patients " category included 32 people: 17 with no comorbidities, 4 with
medically compensated diabetes mellitus, 9 with hyperacid gastritis, 2 with neurotic disorders.
Questions were asked in a short form. Patients were interested in all options, prices,
guarantees of orthopedic treatment. Orthopedic treatment for such individuals is carried out safely,
there are no complaints and complaints about the quality of the doctor's work [24-30].
The group of "multi-word patients", the most complex, consisted of 31 people: 4 without
comorbidities, 16 with medically compensated diabetes mellitus, 3 with hyperacid gastritis, 8 with
neurotic disorders. Their thinking was sticky, vague, their attention was scattered. The volume of
RAM is limited, personal claims are exaggerated. Communication with such patients before the
start of treatment requires 3-4 visits. The doctor must show maximum patience and, together with
it, draw up a treatment plan in order to subtly convey the patient to the essence of the problem [31-
35].
"Concerned" patients were diagnosed with 29: 5, no comorbidities, 7 medically
compensated diabetes mellitus, 3 hyperacid gastritis, 14 neurotic disorders. Patients have increased
their activity, haste and anxiety, which is combined with irritability and interest in the professional
training of the dentist, working time, expected result and quality of treatment. The doctor's tactic
is to provide reasonable and calming information on which the psychological unit of the patient
and the doctor's personality occurs.
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The adaptation period lasts 3-4 weeks. The doctor will patiently dispel all doubts of the
patient, sometimes connecting 2-3 specialists for advice, they will strengthen the positive effect of
orthopedic treatment [36-41].
There were 8 patients in a" negative " mood: one without joint diseases, 3 with medically
compensated diabetes mellitus, 2 with hyperacid gastritis, 2 with neurotic diseases. These patients
show aggression, identify information of interest with the doctor with sarcasm, pessimistic about
the results, cost and guarantee of treatment. The doctor's tactic is to patiently and intelligibly
explain the essence of therapeutic manipulations, in no case requiring the performance of
orthopedic work. During visit 2-3, the patient agrees to the proposed treatment plan, as if giving
up the good. After the end of prosthetics, the patient is literally unhappy with everything. The
adaptation period lasts 5-7 weeks. The doctor constantly, in cooperation with other specialists,
assures the patient of the high quality of orthopedic work. In the future,such individuals will
become regular customers, i.e. they can only entrust their health to this doctor [42-47].
In all patients who have undergone psychotherapeutic training, the level of trust in the
doctor has increased, a positive attitude towards therapy has appeared, the assessment of the
quality of orthopedic treatment has changed, and the period of adaptation to prostheses has
decreased [48-50].
Conclusions.
Thus, psychotherapeutic preparation for dental treatment of patients with
joint diseases has its own characteristics and is the key to successfully carrying out work and
subsequently adapting to prostheses. Such preparation for treatment does not require a doctor's
specialization in the field of psychotherapy. Together, the pathogenetic relationship of the disease
and the psychological state of the patient determines the need to take into account the mental state
of the patient, as well as the interaction of doctors of various specialties in the process of treatment.
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