Insight on Improving Professional Performance in Dental Practice: Essentials of Verbal and Nonverbal Communication in Dentist-Patient Relationship (A Critical Review)

Main Article Content

Nadya Avramova


Background and Aim: In contemporary world, patient’s expectations of his dentist include not only professional performance of treatment procedures, but also a high standard of communication skills and individual approach. The current paper aimed to outline some essential elements in dentist-patient relationship regarding verbal and nonverbal communication techniques.

Methods: Based on available literature on the issue as well as some assumptions that arose from the author’s personal experience and observations, the article underlined the importance of acquiring effective communication skills by the dentists, thus providing quality dental assistance, and ensuring patient’s satisfaction.

Results: Literature review summarized basic theoretical aspects regarding communication media, verbal and nonverbal communication techniques and their relevant application in dental practice.  The results indicated that developing communication skills can help dentists to build trust, security, and respect in the patient during the therapeutic process. As a result of effective communication, it can be expected that the patient will be more motivated to follow the prescriptions and thus he will have a better chance of successful treatment.

Conclusion: To achieve high standards in practice, dentists need to be not only good specialists, but also excellent psychologists. Mastering a high level of verbal and nonverbal communication skills is a good solution towards their better professional performance and fulfillment.

Communication, dental practice, verbal behavior, non-verbal behavior, dentist-patient relationship, MeSH terms, communication, dentist-patient relations, humans, oral health, dentistry.

Article Details

How to Cite
Avramova, N. (2021). Insight on Improving Professional Performance in Dental Practice: Essentials of Verbal and Nonverbal Communication in Dentist-Patient Relationship (A Critical Review). International Journal of Research and Reports in Dentistry, 4(1), 7-15. Retrieved from
Review Article


Whitehouse J. Dealing with patient feelings. Dent Today. 2004;23(12):99-102.

Avramova N. Theoretical aspects of stress: A review article. Quest Journals. Journal of Medical and Dental Science Research. 2020;7(8):11-7.

Burke FJ, Freeman R. Psychological aspects of patient management in dental practice. Dent Update. 1994;21(4):148-51.

Veldhuis B, Schouten BC. De relatie tussen communicatiestijl van tandartsen en tevredenheid van hun patiënten [The relationship between communication styles of dentists and the satisfaction of their patients]. Ned Tijdschr Tandheelkd. Dutch. 2003;110(10):387-90.

Schouten BC, Eijkman MA, Hoogstraten J. Dentists' and patients' communicative behaviour and their satisfaction with the dental encounter. Community Dent Health. 2003;20(1):11-5.

Stoev, V. Clinical communication. Softtrade Pulbishing, Sofia, [Book in Bulgarian]; 2010.

Orsini CA, Jerez OM. Establishing a good dentist-patient relationship: Skills defined from the dental faculty perspective. J Dent Educ. 2014;78(10):1405-15.

Newton JT. Dentist/patient communication: A review. Dent Update. 1995;22(3):118-22.

Balkanska P. Applied psychology in medical practice. Bulvest 2000 Publishing Sofia, [Book in Bulgarian]; 2010.

Hagihara A, Tarumi K. Doctor and patient perceptions of the level of doctor explanation and quality of patient-doctor communication. Scand J Caring Sci. 2006;20(2):143-50.
DOI: 10.1111/j.1471-6712.2006.00420.x

Humphris G, Ling MS. Behavioural sciences for dentistry. Published by Elsevier, Edinburgh: Churchill Livingstone; 2003.

Smith AJE. Serie: Communicatie in de tandartspraktijk. Met communicatie bouwen aan een goede tandarts-patiëntrelatie [Series: Communication in the dental practice. Building a good dentist-patient relationship with communication]. Ned Tijdschr Tandheelkd. Dutch. 2019;126(1):37-44.

Rogers CR, Farson RF. Active listening. Chicago, IL; Industrial Relations Center, University of Chicago, n.d; 1987.

Corah N, O'Shea R, Bissell G, Thines T, Mendola P. The dentist-patient relationship: Perceived dentist behaviors that reduce patient anxiety and increase satisfaction. J Am Dent Assoc. 1988; 116(1):73-6.

Yuan S, Humphris G, Ross A, MacPherson L, Freeman R. Recording communication in primary dental practice: An exploratory study of interactions between dental health professionals, children and parents. Br Dent J. 2019;227(10):887-892.

Buck R, Van Lear CA. Verbal and nonverbal communication: Distinguishing symbolic, spontaneous, and pseudo-spontaneous nonverbal behavior. J Commun. 2002;52:522–41.

Hargie O, Saunders C, Dickson D. Social skills in interpersonal communication (3rd edition). New York and London: Routledge; 1994.

Goldsmith C, Slack-Smith L, Davies G. Dentist-patient communication in the multilingual dental setting. Aust Dent J. 2005;50(4):235-41.
DOI:10.1111/j.1834-7819. 2005.tb00366. x

Pearson JC, Turner LH, West RL. Gender and communication. Brown and Benchmark; 1995.

Scheflen AE. Quasi-courtship behavior in psychotherapy. Psychiatry. 1965;28:245-57.

Hess EH. The tell-tale eye: How your eyes reveal hidden thoughts and emotions. New York: Van Nostrand Reinhold; 1975.

Hess EH. Attitude and pupil size. Scientific American. 1965;212:46-54.

Hess EH. The role of pupil size in communication. Scientific American. 1975;233(5):110-119.

Freeman R, Humphris G. Communicating in dental practice stress: Free dentistry and improved patient care. Quintessenz Verlag Publ; 2010.

Jensen ME. Enhancing telephone communication in the dental office. J Contemp Dent Pract. 1999;1(1):36-41.

McCoy LA. The power of your vocal image. J Can Dent Assoc. 1996;62(3):231-4.

Fast J. Body language. Open Road Media Publ; 2014.

Tsuruta J. Comparison of the quality assurance system of dental professionals in Japan, the EU and the ASEAN. Japanese Dental Science Review. 2019;55(1):108-112.