The Importance of Mindfulness in the Clinical Practice of The Dentist

October 25, 2024

Dentistry is a profession that requires a unique combination of scientific, technical knowledge and surgical precision. Daily, the dentist deals with a set of challenges that involve both the execution of meticulous procedures and the management of anxious patients, often in an environment full of great pressure and responsibilities. In addition, it is common for this professional to have to reconcile administrative tasks that make professional practice even more exhausting.

In this context, mindfulness emerges as a powerful tool that can help dentists manage stress, improve their clinical performance and develop a more empathetic relationship with their patients, thus preventing burnout. This article explores the importance of mindfulness in clinical practice, highlighting how it can be integrated into the dentist’s routine and the benefits it provides for the well-being of the professional and the quality of care provided to patients.

What is Mindfulness?

The concept of mindfulness, popularized by professor of medicine Jon Kabat-Zinn, is defined as “the awareness that arises from paying attention, intentionally, to the present moment and without judgment.” In practice, it’s about developing the ability to stay focused on the present, rather than letting the mind wander between worries about the future or past events. Mindfulness is a simple but extremely effective tool that can be practiced at any time of the day, from short breathing exercises to deeper mindfulness in routine activities.

The Challenges of Dentistry

The clinical practice of the dentist is naturally full of challenges. Among the main ones we can highlight:

Management of anxious patients: Many patients feel fear or discomfort in relation to dental procedures, which increases the level of stress, both for the patient and the professional. Mindfulness can help the dentist to deal with these situations with calmer and empathy.

Precise technical procedures: The demand for precision in dentistry is extreme. Any small mistake can compromise the treatment and shake the patient’s confidence. Maintaining focus and concentration is therefore key.

Intense workload: Many dentists face long working hours, which contributes to physical and mental exhaustion, affecting performance.

Administrative requirements: In addition to clinical procedures, running a clinic involves a significant amount of financial, regulatory, and personnel administration issues, which can add an extra load of stress.

Benefits of Mindfulness for the Dentist

  1. Stress and Anxiety Reduction

Studies indicate that regular mindfulness practice is effective in reducing stress and anxiety. For the dentist, who often works under pressure, this practice offers a way to slow down, reflect, and react more calmly and clearly. With mindfulness, it is possible to create a “mental space” that allows for a less impulsive and more thoughtful response to challenging situations.

  1. Improved Focus and Concentration

The ability to stay focused during technical procedures is essential in dentistry. Mindfulness has been linked to strengthening the prefrontal cortex, the area of the brain responsible for attention and concentration. Dentists who practice mindfulness tend to develop a greater ability to stay focused for prolonged periods, which translates into fewer clinical serrors and better treatment outcomes.

  1. Emotional Regulation

In addition to helping with stress management, mindfulness also contributes to more effective emotional regulation.

In situations of tension with patients or when procedures do not go as expected, the dentist who practices mindfulness is better able to pause before reacting, resulting in more controlled and empathetic responses.

  1. Development of Empathy

Mindfulness promotes active listening and empathy, essential soft skills for the relationship between the dentist and the patient. Being “present” during consultations allows the professional to better understand the concerns and anxieties of their patients, creating a relationship of trust that facilitates treatment.

Mindfulness in Clinical Practice

Improved Patient Care

Mindfulness not only improves the well-being of the dentist, but also positively affects the patient experience. A calmer, more focused, and empathetic dentist conveys security to his patients, especially the most anxious, promoting a more collaborative service and a more positive experience.

Reduction of Errors in Procedures

Complex clinical procedures require maximum concentration. Mindfulness helps the dentist to stay focused throughout the procedure, reducing the risk of errors and improving results.

Improvement in Time Management

The practice of mindfulness can also help in efficient time management, a crucial skill in the dental clinic. By prioritizing what really matters and avoiding unnecessary distractions — such as excessive use of technology or multitasking — the dentist can better organize his activities, optimizing time for procedures and administrative tasks.

Mindfulness in Clinic Management

In addition to benefiting clinical practice, mindfulness is also useful in the management of the dental clinic. The decision-making process, often carried out under pressure, becomes clearer and more thoughtful with the practice of mindfulness. The creation of a mental space allows the dentist to analyse situations calmly, leading to more strategic and well-founded decisions, from personnel management to financial issues.

Mindfulness = Burnout Prevention

Burnout is a common problem among healthcare professionals, and dentists are no exception. The combination of long working hours with clinical and administrative responsibilities can lead to physical and emotional burnout. Regular mindfulness practice helps prevent burnout by promoting
emotional self-regulation and the ability to cope with stress in a healthy way.

How to Incorporate Mindfulness into the Dentist’s Routine

Incorporating mindfulness into everyday life doesn’t require major changes. Simple techniques can be practiced throughout the day, providing considerable benefits:

Mindful breathing: Taking a few minutes before a procedure or during breaks to focus on breathing can help reduce stress and increase focus.

Conscious transitions: Use moments of transition, such as walks between rooms, or breaks to refocus the mind and be more present at the next task.

Limit technology use: Establishing specific times to check email and turn off notifications during procedures can reduce distractions and help stay focused.

Conclusion

Mindfulness offers the dentist a valuable set of tools to deal with the daily challenges of their profession. In addition to promoting emotional well-being and improving focus, mindfulness contributes to more efficient clinical practice, increasing the quality of care offered to patients and preventing burnout.

Incorporating mindfulness into the dentist’s daily routine is an investment in mental health and excellence in clinical practice, resulting in a more balanced and satisfying professional activity.

You can read the full article, in Portuguese or English, in the Portuguese monthly edition of Dentistry magazine:

Open the English version of the article (pdf).

Open the Portuguese version of the article (pdf).


From the inside out vs. from the outside in: strategic integration in dentistry

February 23, 2024

In the dynamic and highly competitive world of dentistry available in the private sector, the strategic management of a clinic can be approached in two different ways: “From the Inside Out” and “From the Outside In”.

Each of these approaches defines a unique way of organizing and delivering healthcare, influencing the efficiency of procedures and the sustainability of the clinic. This short reflection explores
both strategies, seeking to describe how they can complement each other to shape a resilient and customer-centric approach

Inside-Out Strategy

The Inside Out strategy focuses on maximizing the clinic’s internal capabilities. This approach underlines that the success of a clinic depends on optimizing its core competencies.

Aspects such as the qualification of the team, technologies, equipment and devices, quality of facilities and location are considered fundamental.

The idea is to create and leverage a solid internal infrastructure that can be designed to attract and retain patients. By focusing on internal strengthening, the clinic can offer high-quality services, reflecting them directly on customer satisfaction and the clinic’s reputation in the market.

Outside-in Strategy

In contrast, the Outside-In strategy in dentistry directs attention fundamentally outwards, i.e., to the needs and expectations of patients and the market.

This approach advocates adapting the clinic’s services and culture to patients’ demands, expectations, and desires. Here, the focus is on understanding and embodying what patients really want and need and how the clinic can respond to those expectations effectively.

The goal is to align the clinic’s offerings with the needs of the market, thereby creating a competitive advantage. A clinic that adopts this approach is constantly looking to innovate and improve its services, relying mainly on feedback and evolving patient preferences.

You can read the full article, in Portuguese or English, in the Portuguese monthly edition of Dentistry magazine:

Open the English version of the article (pdf).

Open the Portuguese version of the article (pdf).


Orlando Monteiro da Silva receives honorary doctorate from University of Porto

January 13, 2014

Orlando Monteiro da SilvaThe University of Porto conferment of degree doctor honoris causa to Orlando Monteiro da Silva, by proposal of the Faculty of Dental Medicine. It’s the first time that a dentist is recognised in Portugal.

With origins dating back to the eighteenth century, the University of Porto is currently one the most prestigious higher education institutions of Europe.

A public institution close to 32,000 students, 2,400 teachers and researchers along with 1,600 administrative staff attend its 15 schools and 60 scientific research units, spread across three university campuses located in the city of Porto.

With 14 faculties and a business school, the University of Porto provides an exceptional variety of courses, covering the whole range of study areas and all levels of higher education. In fact, offering over 600 training programmes per year (from degrees to continuous professional training), the University of Porto has teaching solutions for everyone.

The immediately previous distinguished was Jean-Claude Juncker in 2013. See all 79 contemplated here since 1921.

Biography Note

Orlando Monteiro da Silva was born in Porto and graduated in dentistry from the Faculty of Dental Medicine, University of Porto.

President of the Portuguese Dental Association since 2001, Orlando Monteiro da Silva has occupied several functions both in national and international prominent institutions.

In 2003 he was elected to the board of the Council of European Dentists, CED, having later served a mandate as its president, between 2006 and 2009.

In 2004, he was a candidate for the council of FDI – World Dental Federation, having become the first Portuguese person to assume decision-making functions within this global organization of dentistry. He promoted the adhesion of East Timor, Angola, Mozambique, Guinea-Bissau and the Lusophone Dental Association to the FDI.

University of PortoThe importance of advocating for Portuguese dentists and dentistry both nationally and internationally, as well as for the relevance of learning and of bringing experiences from abroad, have marked his work as President of the Portuguese Dental Association, Ordem dos Médicos Dentistas, regulatory body of the profession in Portugal.

In 2011 he acted as president of FDI – World Dental Federation, a position he occupied until the end of his term in August 2013.

In 2011, he was elected president of the National Council of Professional Associations (CNOP) and in 2012 he took office as councillor of the Portuguese Economic and Social Council, for four years from 2011 to 2015.


Madrid: Current practice of Dentistry in Europe

December 29, 2013

Last 21 December, by invitation of the Spanish Dental Association, I participated at the Round Table “Current practice of Dentistry in Europe” of the XXXIV Congresso Nacional e XIV Internacional do Consejo General de Colegios de Odontólogos y Estomatólogos de España.

Other colleagues, as Stefaan Hanson, Marco Landi, Catherine Mojaïsky, Philippe Rusca, Gerhard Konrad Seeberger and Michael Sereny had also contributed with their opinion and experience. The moderator was Juan Manuel Aragoneses and Manuel Alfonso Villa Vigil, president of the Consejo, was the host of this relevant round table.

The highlight and topics that were under discussion:

  • numerus clausus: limitation in the number of incoming student at university in EU;
  • number of Dental Schools;
  • number of students that begin Dentistry studies each year;
  • percentage of population that uses dental services;
  • percentage of population that goes to the dentist without a “perceived need” annually;
  • Funds and/or supports from Governments to dental services;
  • private treatments / kind of payments
  • Advertising

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From left to right, Andrés Plaza Costa, Manuel Alfonso Villa Vigil and Juan Antonio López Calvo.

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From left to right, Enrique Llobell Palanca, Premio Santa Apolonia, my wife, Manuel Alfonso Villa Vigil, Llobell’s wife and me.

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Press conference at Santiago Bernabéu Stadium of Real Madrid. Gerhard Seeberger, speaker at the round table too, interpellating a journalist…


Gracias Paraguay, hasta siempre!

September 15, 2013

Immediately after FDI AWDC 2013, in Istanbul, by invitation of the Circulo de Odontólogos del Paraguay (COP), I had the pleasure to attend, as FDI past president, the IX International Congress in Assuncion (5-7 September).

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Open ceremony – national authom of Paraguay.

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Colleagues from Paraguay.

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The FDI General Assembly in Istanbul approved the COP membership as Associate member. As the COP representatives couldn´t attend the Istanbul AWDC, so I had the honor to deliver it locally…

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With the president of the COP, Eduardo Poletti Paoletti.

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I took the opportunity to present in Spanish the Vision 2020 FDI project…

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Local organizing committee….

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Farewell: Noche tipica at the…

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….Head office. Gracias Paraguay, hasta siempre!


Ayubowan Sri Lanka!

July 9, 2013

By invitation of the Sri Lanka Dental Association (SLDA), I had the pleasure to attend the FDI-World Dental Federation/CDA-Commonwealth Dental Association/SLDA Joint International Conference, under the theme “New Challenges in Dental & Oral Care”, from 27th June till 1st July.

Simultaneously, the Sri Lanka Dental Association was commemorating its 80th anniversary. As stated by HE the President of Sri Lanka, Mahinda Rajapaksa, ”…80 years in valuable service to the country…”

Arrival of the Sri Lanka minister of Health, Maithripala Sirisena, at the ceremonial inauguration.

Arrival of the Sri Lanka minister of Health, Maithripala Sirisena, at the ceremonial inauguration at the Nelum Pokuna Mahinda Rajapakse Theatre. Maithiripala Sirisena, as chief guest, said: “ …Sri Lanka is a nation that can boast nearly a century of public dental service offered free of charge to its citizens. It’s the only country in the South East Asia region in which nearly 65% of the country’s dental surgeons are employed by the State…”

Traditional welcome ritual.

Traditional welcome ritual.

Addressing at the opening.

Addressing at the opening.

With Suresh Shanmuganathan, president of Sri Lanka Dental Association.

With Suresh Shanmuganathan, president of Sri Lanka Dental Association.

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From left to right, Me, Suresh Shanmuganathan, Dato Ratnanesan (president of Asia Pacific Dental Federation and FDI past-president) and Bill O’Reilly (president of the Commonwealth Dental Federation).

Dance performance at the opening ceremony.

Dance performance at the opening ceremony.

With local dancers.

With local dancers.

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Organizing committee group photo. Standing, from left to right: Sunil Gunaratne, Gamini de Silva, Pubudu Perera, SuniI Fernando, Manil Fonseka, Ruwan Jayasinghe, Mahim Wimaladharma, Dasun Perera, Lionel Dassanayake, Ganananda Nanayakkara, Miraz Mukthar, V. Thuthikaran and Douglas Perera. Seated, from left to right: Naresha Samarasekara, Nilantha Ratnayake, Malcolm Stanislaus, Asoka Amunugama, Ramesh Kanna, Suresh Shanmuganathan, Vipula Wickramasinghe, A. Sundar, J. M. W. Jayasundara Bandara and DiIini Wijesooriya.

Entrance of the congress centre.

Entrance of the congress centre.

Opening of trade exhibition. With Rajitha Senaratne, minister of Fisheries, and Suresh Shanmuganathan, president of the Sri Lanka Dental Association.

Opening of trade exhibition. With Rajitha Senaratne, minister of Fisheries, and Suresh Shanmuganathan, president of the Sri Lanka Dental Association.

Live, Learn and Laugh Symposium lecturing: LLL Global Health promotion Project-Global perspective.

Live, Learn and Laugh Symposium lecturing: LLL Global Health promotion Project-Global perspective.

My contribution was to briefly outline the role and operations of FDI, providing the global context for the national LLL programme. For her part, Vaidehi Ketkar, Unilever, described the LLL concept as well as its historic background.

Local project leader, Prasad Amaratunga of SLDA, provided an outline of the aims and achievements of the national LLL project, one of eight underway in Asia targeting schoolchildren.

The South-East Asia perspective was provided by Prof Prathip Phamtuvanit, LLL Regional Coordinator for Asia. He pointed out that, according to baseline data collected in Asia, the 11 LLL projects have reached out to at least 10,700 children and dental patients. The presentations were followed by 30 minutes of open discussion.

Symposium on “Integration and harmonization  of Oral Health”.

Symposium on “Integration and harmonization of Oral Health”.
Other intervenients: Bill O’ Reilly, Dato A. Ratnanesan, Lanka Jayasuriya Dissanayake (WHO – Sri Lanka professional officer).

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Press conference.

Press conference.

High coverage at local media.

High coverage at local media.

Some data of dental medicine in Sri Lanka:

2000 (approx..) dental surgeons
1420 in public sector
Population around 21 million habitants
DMTF 5 years prevalence in 2002/03 : 3.6
Number of dental medicine faculties: 1 Peradenya

In Sri Lanka, the national oral health policy has been drafted in accordance with the national health policy. Its implementation will ensure the oral health care services are integrated with the medical services.

The first Europeans  to visit Sri Lanka, in 1505 (Portuguese Ceylon as they called it) were Portuguese, as we can still feel by the “da Silva brotherhood…”

The first Europeans to visit Sri Lanka, in 1505 (Portuguese Ceylon as they called it) were Portuguese, as we can still feel by the “da Silva brotherhood…”

Elephant orphanage in Pinnawala.

Elephant orphanage in Pinnawala.

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Elephants teeth...

Elephants teeth…

Sacred Temple of the Tooth Relic in Kandy.

Sacred Temple of the Tooth Relic in Kandy.

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Peradenya Botanical Gardens, history dates as far back as 1371…

Peradenya Botanical Gardens, history dates as far back as 1371…

Running in the sea front of...

Running in the sea front of…

Galle Face Drive...

Galle Face Drive…


FDI African Strategy for Oral Health

July 2, 2013

The FDI World Dental Federation has defined a strategy for the development of Oral Health in Africa, which can be find on this pdf document.

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Turning Vision 2020 into an action plan – Chicago/ADA

February 23, 2013

The taskforce Vision 2020 met in Chicago at the American Dental Association (ADA) headoffice.

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We thank the ADA for all the collaboration and support.

From the FDI – World Dental Federation, the participants were Orlando Monteiro da Silva (president), Kathryn Kell (treasurer), Patrick Hescot (concilor), Gerhard Seeberger (councilor), Jean-Luc Eiselé (executive director) and Emmanuel Chevron (associate director). From the International Association for Dental Research (IADR), were Michael Glick and David Williams (IADR).

And industry partners: Christian Brutzer (Ivoclar), Gerard Meuchner (Henry Schein), Robert Labella (Johnson&Johnson), Mike Butler (Colgate), Analia Mendez (Unilever), Mayumi Kaneda (Sunstar), Friedrich A. Herbst (IDM).

This was a great opportunity to share ideas and suggestions for an operationalisation of Vision 2020 in the months and years to come.

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At the Chicago’s Millennium Park, with “The Bean” behind


أشكرك أيتها المملكة العربية السعودية ، القصيم. Thank you Saudi Arabia!

February 15, 2013

The city of Buraidah has always had the honor to host the event. This year, the fifth Dental students scientific meeting (5th DSSM) was held at the King Khalid Cultural Center.

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As guest speaker, I had the pleasure to present to a vast audience the FDI Vision 2020, shaping the future of oral health. Afterwards I responded to several questions placed by the students.

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Receiving, on behalf of the FDI, an recognition award under the auspices of honor if his Royal Highnness, Prince Dr. Faisal Bin Meshal Al Saud, also vice Governor of Qassim Province.

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Thanking on behalf of the FDI.

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With Mohammed Almohaimeed, dean of the College of Dentistry Qassim University.

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With Yousef Al-Khodair, Kingdom of Saudi Arabia National Board Health Affairs.

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During a scientific session.

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Addressing the audience about the FDI role on “Leading the world to optimal oral health”.

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Omar Al Abood, a saudi dental student, translating an interview for a nation tv channel.

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Students at the dental exhibition.

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Tower City Buraidah. Buraidah is the capital of Al-Qassim Province in northcentral Saudi Arabia in the heart of the Arabian peninsula. Buraidah lies equidistant from the Red Sea to the west and the Gulf to the east. It has a population of 609,000 (2010 census).

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Informal meeting with several dental students associations from Saudi Arabia.

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Irina F. Dragan, teaching assistant at Tufts University School of Dental Medicine.

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Pavel Scarlet, president of the International Association of Dental Students (IADS).

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Giving the FDI Oral Health Atlas to Sulaiman Saleh Al Reshaid, president of congress board of directors.

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In the desert with the dental students.

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Sunset in the desert.

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Having tea in a tent in the desert.

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After a meeting about the Saudi Arabi oral health strategy. With Hassan S. Halawany (left) and Solaiman M. Al-Hadlaq (right), both experts in health management and policy, from the King Saud University, Riyadh.

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Night in the desert.

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Thank you Buraidah!


Dhaka, Bangladesh – Dental Experts Conference 2012

November 30, 2012

I had the pleasure to visit for the first time Bangladesh, last November. I took the opportunity to meet with the Bangladesh Dental Society. I got a better picture of oral health in this 9th most populous country of the world…

Group photo with some of the around 400 dental medicine students I had the opportunity to address on behalf of the FDI, at the Dental Experts Conference, organized by Unilever Asia.Group photo with some of the around 400 dental medicine students I had the chance to address on behalf of the FDI, at the Dental Experts Conference, organized by Unilever Asia.

TV interview focusing on the FDI as a century old organization, the "Life. Learn. Laugh" Program. The partners in Bangladesh are the Bangladesh Dental Society and Pepsodent.TV interview focusing on the FDI as a century old organization and the “Life. Learn. Laugh” Program. The partners in Bangladesh are the Bangladesh Dental Society and Pepsodent. The interviewer was Vaidehi Ketkar, from Unilever Asia.

One of the speakers, Fred Schafer, CFC Clinical Unilever.One of the speakers, Fred Schafer, CFC Clinical Unilever.

450px-webimg-20121124-fdi-bangladesh-010Picture from the hotel.

My special thanks to Ju-un Choudhury, Ishtiaque and all the Unilever team in Bangladesh.