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Role Play Scenario 2
A five year old boy comes into your dental clinic with severe decay in multiple teeth. Your clinical opinion is that they need to be extracted. The girl’s mother, Karen, tells you that they do not want the teeth to be extracted.
Speak to Karen about this situation.
Excellent Student Approach
2. Open Questions
3. Develop Rapport
4. Address the issues known
5. Identify any additional issues
6. Summary and plan going forward
1 - Introduce yourself to Karen.
2 - Explain your understanding of the situation so far, and repeat your clinical opinion. Ask an open question, like, ‘I understand that you don’t want your son’s teeth to be extracted. Can you tell me more about this?’
3 - Be polite and informative. Avoid appearing condescending or patronising.
4 - Find out what Karen’s reasons are for not wanting the teeth to be removed. Explore if she thinks there are risks associated with the procedure. Explore her knowledge of the procedure, and where she has received her information about it from. She may have received false information - be it from the internet, friends or elsewhere.
5 - Outline the procedure in lay terms, and explain that it is in her son’s best interests. Explain that it is a very low-risk procedure, and has tangible health benefits. Explain that if the teeth are not extracted there is a significant chance of infection of parts of the mouth or even of the bloodstream.
6 - To move forward, ask Karen if there is anything more you need to do to persuade her to remove the teeth, as you believe it to be clinically necessary. If not, explain that you will then schedule the appointments for the removals and be in contact.