The Importance of The Dentist – Patient Relationship in Oral Cancer Treatment

Indrayadi Gunardi, Rahmi Amtha


Background: There are many instances in oral cancer cases in which a lack of patient cooperation was found to be a hampering factor in the overall case management. A good relationship between dentists and patients should therefore be built in conjunction with other treatment modalities. Case Report: Three complete oral cancer cases with dentist–patient relationship problems are presented. One of the common basic ways to build a good relationship is through communication and empathy. A relationship is also influenced by psychological distress, experience from previous treatments, socioeconomic factors, the healthcare system, time constraints, and belief. Conclusion: No single intervention strategy can improve the compliance of an oral cancer patient. An assessment of patient knowledge and understanding of the regimen along with clear and effective communication and trust in the therapeutic relationship are important in the overall patient management.

Full Text:



Stewart BW, Kleihues P Head and neck cancer. In Bernard W Stewart and Paul Kleihues, editors. ‘World Cancer Report’. Lyon France, IARC Press; 2003a. p.232-5.

Maulinaa T, Iskandarsyahb A, Hardiantoa A, Sjamsudina E, Nandini M, Kasima A, et al. The incidence of oral squamous cell carcinoma (OSCC) and its relationship with orofacial pain in oral cancer patients in West Java Province, Indonesia. J Oral Maxillofac Surg Med Pathol. 2017;29:29-32. DOI: 10.1016/j.ajoms.2016.09.001

Adham M, Kurniawan AN, Muhtadi AI, Roezin A, Hermani B, Gondhowiardjo S, et al. Nasopharyngeal carcinoma in Indonesia: epidemiology, incidence, signs, and symptoms at presentation. Chin J Cancer. 2012 Apr; 31(4): 185–196. DOI: 10.5732/cjc.011.10328

Amtha R, Razak IA, Basuki B, Roeslan BO, Gautama W, Puwanto DJ, et al. Tobacco (kretek) smoking, betel quid chewing and risk of oral cancer in a selected Jakarta population. Asian Pac J Cancer Prev. 2014;15(20):8673-8. DOI: 10.7314/APJCP.2014.15.20.8673

Prabandari YS, Dewi A. How do Indonesian youth perceive cigarette advertising? A cross-sectional study among Indonesian high school students. Glob Health Action. 2016; 9: 10.3402/gha.v9.30914. DOI: 10.3402/gha.v9.30914

KOMPAS. Kanker Masih Jadi Momok Menakutkan. Update 4 Febuary 2010.

Maulana A. Masih Rendah, Kesadaran Masyarakat terhadap Kesehatan Gigi dan Mulut. Update 26 May 2014.

Donovan JL, Blake DR. Patient non-compliance: deviance or reasoned decision-making?. Soc Sci Med. 1992;34:507–13.

Vermeire E, Hearnshaw H, Van Royen P, et al. Patient adherence to treatment: three decades of research A comprehensive review. J Clin Pharm Therap. 2001;26:331–42. DOI: 10.1046/j.1365-2710.2001.00363.x

Gordis L. Conceptual and methodologic problem in measuring patient compliance. In: Haynes B, Taylor DW, Sackett DL, editors. Compliance in health care. Baltimore: The John Hopkins University Press; 1979. p. 23–45.

Cummings KM, Kirscht JP, Binder LR, et al. Determinants of drug treatment maintenance among hypertensive persons in inner city Detroit. Public Health Rep. 1982;97:99–106.

Swaminath G. Doctor-patient communication: Patient perception. Indian J Psychiatry. 2007 Jul-Sep; 49(3): 150–153. DOI: 10.4103/0019-5545.37309

Reiche EM, Nunes SO, Morimoto HK. Stress, depression, the immune system, and cancer. Lancet Oncol. 2004 Oct;5(10):617-25. DOI: 10.1016/S1470-2045(04)01597-9

Gagliese L, Gauthier LR, Rodin G. Cancer pain and depression: A systematic review of age-related patterns. Pain Res Manag. 2007 Autumn; 12(3): 205–211. DOI: 10.1155/2007/150126

Jin J, Sklar GE, Oh VMS, Li SC. Factors affecting therapeutic compliance: A review from the patient’s perspective. Ther Clin Risk Manag. 2008 Feb; 4(1): 269–286.

Grivennikov SI, Greten FR, Karin M. Immunity, Inflammation, and Cancer. Cell. 2010 Mar 19; 140(6): 883–899. DOI: 10.1016/j.cell.2010.01.025

Villa A, Kreimer AR, Pasi M, Polimeni A, Cicciù D, Strohmenger L, Gherlone E, Abati S. Oral Cancer Knowledge: A Survey Administered to Patients in Dental Departments at Large Italian Hospitals. J Cancer Educ. 2011 Sep; 26(3): 505–509. DOI: 10.1186/s12903-017-0351-z

Ross S, Walker A, MacLeod MJ. Patient compliance in hypertension: role of illness perceptions and treatment beliefs. J Hum Hypertens. 2004 Sep;18(9):607-13. DOI: 10.1038/sj.jhh.1001721

Spikmans FJ, Brug J, Doven MM, et al. Why do diabetic patients not attend appointments with their dietitian? J Hum Nutr Diet. 2003;16:151–8. DOI: 10.1046/j.1365-277X.2003.00435.x

Loffler W, Kilian R, Toumi M, et al. Schizophrenic patients’ subjective reasons for compliance and noncompliance with neuroleptic treatment. Pharmacopsychiatry. 2003;36:105–12. DOI: 10.1055/s-2003-39985

Seo MA, Min SK. Development of a structural model explaining medication compliance of persons with schizophrenia. Yonsei Med J. 2005;46:331–40. DOI: 10.3349/ymj.2005.46.3.331



  • There are currently no refbacks.


Copyright of Scientific Dental Journal. (e-ISSN: 2541–321X, p-ISSN: 2580–6548)

Scientific Dental Journal is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Creative Commons License