Kenneth S. Cadsawan

University of Medicine and Pharmacy “Iuliu Haţieganu” Cluj-Napoca Faculty of Dental Medicine LICENSE THESIS SPECIFIC FEATURES OF MANAGEMENT AND MARKETING OF A DENTAL OFFICE Scientific Coordinator: Asistent Universitar: Dr. B Graduate: MC 2019 GENERAL PART : When a patient enters the dental office all his five senses all his senses are on alert. This is why it is of great importance to relax him the more possible. Nowadays it has also become of great importance to manage and market the dental office to have enough patients to work with. OBJECTIVES : 1. To have an overview at how can the dentists improve the experience of their patients in their dental office 2. What could help the patients feel more relaxed, comfortable, confident and happy when they are in the dental clinic and during the dental procedure. MATERIAL AND METHODS : The sample of dentists was a total of 213 with 139 females and 74 males. The sample of patients was a total of 186 with 127 females and 59 males. We conducted a quantitative study of dentists in Cluj-Napoca and patients in Cluj-Napoca with self-filled paper questionnaires. Figure 1: Sex repartition of dentists 34.74% 65.26% Male Female Figure 2: Repartition of the dentists according to their origin 60.00% 52.58% PERCENTAGE (%) 50.00% 40.00% 30.00% 17.37% 20.00% 11.74% 5.57% 10.00% 3.76% 1.88% 1.88% 1.41% 0.94% 0.94% 0.00% Romania France Germany Israel Greece Italy Sweden Turkmenistan UK Others Figure 3: Repartition of the dentists according to their future working country 60.00% 52.58% PERCENTAGE (%) 50.00% 40.00% 30.00% 17.37% 20.00% 11.74% 5.57% 10.00% 3.76% 1.88% 1.88% 1.41% 0.94% 0.94% 0.00% Romania France Germany Israel Greece Italy Sweden Turkmenistan UK Others Figure 4: Dentist’s opinion on communication with the patient 1.30% Neglectable 44.59% Important 54.11% Dental office's foundation How you consider communication between dentist and patient? Figure 5: Dentist’s opinion on communication among his team 1.86% How do you consider communication between the dentist and his team? 13.49% A. not important the staff should do what the dentist wants B. it's important to consider but you can manage without 84.65% C. is the foundation of your office A B C Figure 6: Meaning of being a great dentist for the practitioner For you being a great dentist means… 0.51% 17.51% 45.94% A. Being extremely good in working and practicing the newest techniques with the newest materials B. Being a good psychologist and to be able to understand the personality types of the patients C. You can’t be a good dentist without having knowledge about marketing and management 36.04% A B C D D. No need of management and marketing to handle a really good clinic Figure 7: Dentist’s organization of the dental office 6.82% Do you want to work… A. Alone 27.27% B. With a team: secretary, assistant, manager 0.00% 65.91% C. I don't see the use of working with a team D. I can't imagine working alone A B C D Figure 8: Dentist’s idea about their future dental office 2.34% As for your future cabinet what do you think is best? A. hire an accountant to do the paperwork and hire a secretary to answer the phone calls and manage the timetable 19.63% 78.03% A B C B. hire a secretary to do both and the message box will be of great use when she can't answer the phone C. I will have no secretary at all I deal with all the calls by myself and it's fine Figure 9: Practitioner’s methods to attract patients to their office 8.28% To attract enough patients: 8.60% A. you will wait for them to find out about your office 41.08% 42.04% B. will use a lot of advertisement techniques C. you wait for patients to recommend your office 8a 8b 8c 8d D. you can't advertise medical services it's not ethic Figure 10: Repartition of advertising choices 42.37% 45.00% 40.00% 36.08% PERCENTAGE (%) 35.00% 30.00% 25.00% 20.00% 15.00% 10.00% 4.60% 6.30% 4.84% 5.00% 3.39% 2.42% 0.00% Social media Radio Emails Clinic's website TV Commercials Advertisement Other Figure 11: Factors influencing the patient of the dental office 12.00% 11.59% 11.78% 11.53% 11.34% 11.02% 10.96% 10.00% 7.26% 8.00% 6.69% 5.29% 6.00% 4.46% 4.39% 3.69% 4.00% By what do you think the global feeling of your patient at your dental office can be influenced? A. B. C. D. E. F. G. H. I. J. K. L. 2.00% 0.00% A B C D E F G H I J K L if you're on time or not quality of the treatment absence of pain beauty of your cabinet friendliness of your staff if your cabinet is clean waiting room decoration type of light smell of the cabinet and of some dental materials sound of drills taste of the material sight of needles and sharp instruments Figure 12: Sex repartition of the patients 31.72% 68.28% F M In a dental office usually I feel.. Figure 13: Patient’s feelings in the dental office 35.00% 30.00% 29.70% PERCENTAGE (%) 25.00% 23.10% 20.00% 15.00% 10.23%10.89% 10.00% 6.93% 5.28% 4.95% 5.00% 2.97% 2.31% 1.98% 1.65% 0.00% A B C D E F G H I J K A. B. C. D. E. relaxed impatient stressed scared of pain disturbed by the smell of the dental cabinet F. disturbed by sounds of burs G. disturbed by the light and the sight of needles H. disturbed by taste of materials I. disturbed by blood and saliva which jump into my eyes during the procedure J. disturbed that after the treatment there is no room to clean my face or redo my makeup K. I feel good nothing negative to say Figure 14: Repartition of the colors that the patient would like to see in order to feel more secure and relaxed 35.00% 29.39% 30.00% 24.24% 25.00% 18.79% 20.00% 15.00% 10.00% 6.67% 4.24% 5.00% 5.76% 4.85% 2.73% 2.73% 0.61% 0.00% Red Light Blue Green Yellow Pink Purple Orange White Don't Matter Other What colors would you like to see in the dental office to feel more secure and relaxed? Figure 15: Circumstances affecting patient comfort and confidence in the dental office 21.05% 25.79% 8.95% When do you feel more comfortable and confident as a patient? A. when all the team is wearing the same uniform B. when each member wears the color and type of scrubs he wants C. it doesn't matter 44.21% D. when all the team is wearing the same uniform except the dentist A B C D Figure 16: Patient’s preferences in the waiting room 7.69% In the waiting room you prefer to encounter.. 10.49% A. Before and after treatment pictures of 17.02% 23.08% patient B. Posters about oral hygiene education C. Beautiful landscapes of nature which 24.01% have nothing to do with dentistry 17.72% D. Plants E. Available fresh juice and coffee A B C D E F F. The doctor’s diplomas Figure 17: Dental office’s odor, fear and anxiety 12.90% YES NO 87.10% Does the smell of the dental office makes you anxious or scared? Figure 18: Preferred odor to replace the dental office smell 30.00% 23.91% PERCENTAGE (%) 25.00% 20.00% 18.48% 15.22% 15.00% 8.70% 10.00% 5.00% 3.62% 5.07% 8.70% 5.07% 5.80% 3.99% 1.45% 0.00% Incense Orange Lavender Vanilla Lemon Bergamot Rose Jasmine Ylang Ylang Which smell would you prefer over the one of the dental materials in a dental cabinet? Others None Figure 19: Repartition of the preferred music to relax in the dental chair 30.00% 25.00% 27.73% 25.21% 20.00% 16.81% 13.87% 15.00% 11.34% 10.00% 5.04% 5.00% 0.00% Classical Music Spa Music Radio Music Nature sounds None Other Which type of music would help you relax in the dental chair? When in the dental chair how do you prefer to relax? 1.06% TV, landscape, videos No need of TV Other 40.74% 58.20% Figure 20: Patient’s preference for relaxing in dental office Figure 21: Repartition of patient thoughts on design linked to trust in the dental office 26.63% YES NO 73.37% Does the design of the dental office affect your trust in the dentist's work? Figure 22: Feelings of the patient after the dental treatment 21.81% After the dental treatment is done you feel like.. A. You want to clean your mouth but have to wait till you go out of the office because no room is available for arranging yourself 57.98% 20.21% B. You go in the bathroom but no soap and cotton is available and it's ok C. The best would be to have face lotion, cotton, soap, makeup remover and tissue A B C in the bathroom Figure 23: What the patient would expect the practitioner to do before the treatment starts 8.99% Usually before starting the treatment at the dentist you would like him: A. To offer you protection glasses 10.05% B. Not to offer you any protection glasses C. He doesn't offer you protection glasses but you wish he did because you feel 80.96% uncomfortable the whole treatment (blood and saliva in your eyes and face) A B C Figure 24: Percentage of patients checking the practitioner’s website 24.60% 41.71% YES NO NEVER 33.69% Do you always check on internet if the doctor has a website? Figure 25: How a clean and designed website impact patient’s trust in the dental office YES NO DOESN'T MATTER 39.04% 43.32% 17.65% Do you trust more a dentist when he has a clear and nicely designed website? 24.60% Do you call back a dental office who didn’t answer your call directly ? 54.54% 20.86% YES NO NEVER Figure 26: Percentage of patients calling back a dental office that didn’t answer DISCUSSION : When it comes to attracting enough patients in their dental office the majority of dentists 42.04% will use a lot of advertisement techniques. Our study found the same tendency in the results as the study of Dable, Singh, Nazikar, and Prasanth carried in 2011 in India. [62] To feel more secure and relax the patients would in majority like to see the colors light blue with 29.39% and green with 24.24% in the dental office. Blue and green colors are recognized to be colors associated to relaxation and calmness. [65] DISCUSSION : We saw that the majority of patients prefer to encounter plants in the waiting room which is to say 24.01% A study about the effect of indoor plants on the human body shows that an environment with plants can highly improve the human comfort. [66] The majority of the patients (23.91%) would prefer the smell lavender over the smell in the dental office. Indeed the lavender essential oil is known to have anxiolytic and calming effects without sedation. [67] CONCLUSIONS : 1. We can see that 54.11% of the dentists feel that communication between dentist and patient is very important. 2. A percentage of 84.65% of dentists consider the communication between dentist and his team is the foundation of their office. Only 1.86% thinks that communication is not important and that the staff should do what the dentist wants. 3. For 45.94% of the dentists being a great practitioner is being extremely good in working and practicing the newest techniques with the newest materials. Only 0.51% of the dentists think there is no need of management and marketing to handle a really good clinic. 4. A percentage of 65.91% of the dentists want to work with a team including a secretary, an assistant. 5. A percentage of 78.04% think that it is best to hire an account to do the paperwork and hire a secretary to answer the phone calls and manage the timetable. CONCLUSIONS : 6. A percentage of 42.04% of the dentists will use a lot of advertisement techniques while 8.28% of the dentists think it is not ethic to advertise medical services. 7. Making advertisement for the future dental office through your clinic's website was the most chosen option by the dentists 42.37%. 8. Most of the future dentists 11.78% think that quality of the treatment can influence the feeling of their patients and 3.69% of the dentists think that the taste of the dental material can influence the global feeling of their patient in their dental cabinet. 9. The majority of the patients (29.7%) usually feel relaxed in a dental office and 1.65% of the patients are disturbed by the smell of the dental cabinet. 10. To feel more relaxed and secure the majority of the patients 29.39% would like to see light blue in the dental office. CONCLUSIONS : 11. First of all, for 44.21% of the patients it does not matter to feel more comfortable and confident. 12. In the waiting room, 24.01% of the patients prefer to see plants while the remaining 7.69% of the patients prefer to see the doctor’s diploma. 13. Majority of the patients 87.10% do not feel that the smell of the dental office makes them anxious or scared. 14. The majority (23.91%) of the patients prefer to smell lavender in the dental office over the smell of the dental cabinet. 15. Majority (27.73%) of the patients prefer the music of the radio to relax . Classical music comes second with 25.21%. CONCLUSIONS : 16. Most of the patients (58.20%) prefer to relax in the dental chair thanks to TV. 17. The majority 73.37% of the patients feel that the design of the dental office affect their trust in the dentist's work. 18. More than half of the patients 57.98% feel that the best would be to have face lotion, cotton, soap, makeup remover and tissue in the bathroom after the dental treatment is done. 19. Usually, before starting the treatment at the dentist, 80.95% of the patients would like the dentist to offer them protection glasses. CONCLUSIONS : 20. Most of the patients 41.71% never check on internet if the doctor has a website. while 24.60% always check on the internet if the doctor has a website. 21. Majority (43.32 %) of the patients trust more a dentist when he has a clear and nicely designed website. 22. More than half of the patients 54.55% call back a dental office that didn’t answer their call directly while 24.60% of the patients never call back while Thanks to this study we were able to highlight many different ways to transform the patient’s experience into a more positive, relaxed and happy one. Those factors are for most of them very easy to be achieved by any dentist and can go a long way for changing the opinion of people about dental offices and dentists. BIBLIOGRAPHY 1. Korsch BM, Harding C. The intelligent patient’s guide to the doctor-patient relationship: learning how to talk so your doctor will listen. Oxford: Oxford University Press; 1997. 2. Roter D, Hall JA. Doctors talking with patients/patients talking with doctors: improving communication in medical visits. Auburn House; 1992. 3. Suchman AL, Markakis K, Beckman HB, Frankel R. A model of empathic communication in the medical interview. J Am Med Assoc [Internet]. 1997 Feb 26 [cited 2019 Apr 17];277(8):678–82. Available from: http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama-. Uribe S, Mariño RJ. Internet and information technology use by dental students in Chile. Eur J Dent Educ [Internet]. 2006 Aug [cited 2019 Apr 17];10(3):162–8. Available from: http://doi.wiley.com/10.1111/j-.x 5. Downs T. 7 ways to differentiate your dental practice from the competition [Internet]. Titan Web Agency. 2014 [cited 2019 Apr 18]. Available from: https://titanwebagency.com/blog/differentiate-dental-practice-competition/ 6. Bashara T. Three ways to differentiate your dental practice from the competition [Internet]. Dentistry IQ. 2013 [cited 2019 Apr 18]. Available from: https://www.dentistryiq.com/articles/2013/11/three-ways-to-differentiate-your-practice-from-the-competition.html 7. Nagpal A. 7 Reasons Why Continuous Learning is Important [Internet]. LinkedIn. 2017 [cited 2019 Apr 18]. Available from: https://www.linkedin.com/pulse/7-reasons-why-continuous-learning-important-amit-nagpal/ 8. Sebag-Montefiore L. Why Constant Learning is Critical to Your Career [Internet]. The Under-Cover Recruiter. [cited 2019 Apr 18]. Available from: https://theundercoverrecruiter.com/constant-learning-career/ 9. Lee D. Level Up: 4 Benefits of Dental Continuing Education [Internet]. Hit News Center. 2017 [cited 2019 Apr 18]. Available from: http://www.hitnewscenter.com/featured/level-up-4-benefits-of-dental-continuing-education/ 10. Coleman J. Lifelong Learning Is Good for Your Health, Your Wallet, and Your Social Life [Internet]. Harvard Business Review. 2017 [cited 2019 Apr 18]. Available from: https://hbr.org/2017/02/lifelong-learning-is-good-for-your-health-your-wallet-and-your-social-life 11. Crawford C. The dental team and their roles [Internet]. DentalTown. 2015 [cited 2019 Apr 18]. Available from: https://www.dentaltown.com/blog/post/2438/the-dental-team-and-their-roles 12. Dental secretary: employment & career info [Internet]. Study.com. [cited 2019 Apr 18]. Available from: https://study.com/articles/Dental_Secretary_Employment_Info_for_a_Career_in_Dental_Office_Secretarial_Work.html 13. Azad K. Understanding the Pareto Principle (the 80/20 rule) [Internet]. BetterExplained. 2007 [cited 2019 Apr 18]. Available from: https://betterexplained.com/articles/understanding-the-pareto-principle-the-8020-rule/ 14. The 80/20 rule and how it can change your life [Internet]. Forbes. 2016 [cited 2019 Apr 18]. Available from: https://www.forbes.com/sites/kevinkruse/2016/03/07/80-20-rule/#3a0fa6b-. Koch R. The 80/20 principle: the secret of achieving more with less [Internet]. Naperville, Ill.: Nicholas Brealey; 2001 [cited 2019 Apr 18]. Available from: http://www.books24x7.com/marc.asp?isbn=-. Carter R. A Painless Guide to Social Media Marketing for Dentists [Internet]. Sprout Social. 2018 [cited 2019 Apr 18]. Available from: https://sproutsocial.com/insights/social-media-marketing-for-dentists/ 17. LOIS. Social Media Marketing for Dentists in 2018 [Internet]. Dentainment. 2018 [cited 2019 Apr 18]. Available from: https://dentainment.com/social-media-marketing-for-dentists-in-2018/ 18. Holmes A. Facebook for Dentists: The Definitive Guide to Attracting New Patients [Internet]. Delivering WOW. [cited 2019 Apr 18]. Available from: https://www.deliveringwow.com/facebook-for-dentists/ 19. How can a dentist use Instagram in 2018/19 [Internet]. Rapid Boost. 2018 [cited 2019 Apr 18]. Available from: https://rapidboostmarketing.com/how-can-a-dentist-use-instagram/ 20. Email marketing for dentists [Internet]. [cited 2019 Jul 4]. Available from: https://blog.aweber.com/guides/email-marketing-for-dentists 21. Qualities of the best dental office’s websites [Internet]. [cited 2019 Jul 15]. Available from: https://titanwebagency.com/blog/dental-websites/ 22. Kunzelmann K-H, Dunninger P. Dental fear and pain: effect on patient’s perception of the dentist. Community Dent Oral Epidemiol [Internet]. 1990 Oct [cited 2019 Apr 18];18(5):264–6. Available from: http://doi.wiley.com/10.1111/j-.tb00073.x 23. Enkling N, Marwinski G, Jöhren P. Dental anxiety in a representative sample of residents of a large German city. Clin Oral Investig [Internet]. 2006 Mar [cited 2019 Apr 18];10(1):84–91. Available from: http://link.springer.com/10.1007/s-. Corah NL, Gale EN, Pace LF, Seyrek SK. Relaxation and Musical Programming as Means of Reducing Psychological Stress During Dental Procedures. J Am Dent Assoc [Internet]. 1981 Aug [cited 2019 Apr 18];103(2):232–4. Available from: https://linkinghub.elsevier.com/retrieve/pii/S-. Gillen E, Biley F, Allen D. Effects of music listening on adult patients’ pre-procedural state anxiety in hospital. Int J Evid Based Healthc [Internet]. 2008 Mar [cited 2019 Apr 18];6(1):24–49. Available from: http://doi.wiley.com/10.1111/j-.x 26. Aitken JC, Wilson S, Coury D, Moursi AM. The effect of music distraction on pain, anxiety and behavior in pediatric dental patients. Pediatr Dent. 2002 Apr;24(2):114–8. 27. American Music Therapy Association. What is music therapy? [Internet]. AMTA. 1998 [cited 2019 Apr 18]. Available from: https://www.musictherapy.org/ 28. Moola S, Pearson A, Hagger C. Effectiveness of music interventions on dental anxiety in paediatric and adult patients: a systematic review. JBI Libr Syst Rev. 2011;9(18):-. Chafin, S., Roy, M., Gerin, W., & Christenfeld, N. Music can facilitate blood pressure recovery from stress. British journal of health psychology, 2004, 9(3),-. García González J, Ventura Miranda MI, Requena Mullor M, Parron Carreño T, Alarcón Rodriguez R. Effects of prenatal music stimulation on state/trait anxiety in full-term pregnancy and its influence on childbirth: a randomized controlled trial. J Matern Neonatal Med [Internet]. 2018;31(8):1058–65. Available from: http://dx.doi.org/10.1080/-.Ease the pain with music [Internet]. [cited 2019 Jul 15]. Available from: https://www.npr.org/sections/health-shots/2015/06/22/-/to-ease-pain-reach-for-your-playlist-instead-of-popping-a-pill 32. Thoma MV, Zemp M, Kreienbühl L, Hofer D, Schmidlin PR, Attin T, et al. Effects of Music Listening on Pre-treatment Anxiety and Stress Levels in a Dental Hygiene Recall Population. Int J Behav Med [Internet]. 2015 Aug [cited 2019 Apr 18];22(4):498–505. Available from: http://link.springer.com/10.1007/s--x 33. Schäfer T, Sedlmeier P, Städtler C, Huron D. The psychological functions of music listening. 2014;(January). 34. Sense of smell | definition of sense of smell by Medical dictionary [Internet]. The Free Dictionary by Farlex. [cited 2019 Apr 18]. Available from: https://medical-dictionary.thefreedictionary.com/sense+of+smell 35. Kadohisa M. Effects of odor on emotion, with implications. Front Syst Neurosci [Internet]. 2013 [cited 2019 Apr 18];7. Available from: http://journal.frontiersin.org/article/10.3389/fnsys-/abstract 36. National Association for Holistic Aromatherapy. Exploring Aromatherapy [Internet]. NAHA. [cited 2019 Apr 18]. Available from: https://naha.org/explore-aromatherapy/about-aromatherapy/what-is-aromatherapy 37. Understanding How Essential Oil Diffusers Work & 4 Diffuser Types [Internet]. Pure on Main. 2017 [cited 2019 Apr 18]. Available from: https://pureonmain.com/blog/2017/8/9/understanding-how-essential-oil-diffusers-work 38. Lehrner J, Eckersberger C, Walla P, Pötsch G, Deecke L. Ambient odor of orange in a dental office reduces anxiety and improves mood in female patients. Physiol Behav [Internet]. 2000 Oct [cited 2019 Apr 18];71(1–2):83–6. Available from: http://linkinghub.elsevier.com/retrieve/pii/S-. Kritsidima M, Newton T, Asimakopoulou K. The effects of lavender scent on dental patient anxiety levels: a cluster randomised-controlled trial. Community Dent Oral Epidemiol [Internet]. 2010 Feb [cited 2019 Apr 18]; 38(1):83–7. Available from: http://doi.wiley.com/10.1111/j-.x 40. Harada H, Kashiwadani H, Kanmura Y, Kuwaki T. Linalool Odor-Induced Anxiolytic Effects in Mice. Front Behav Neurosci [Internet]. 2018 Oct 23 [cited 2019 Apr 18];12:241. Available from: https://www.frontiersin.org/article/10.3389/fnbeh-/full 41. Fukada M, Kano E, Miyoshi M, Komaki R, Watanabe T. Effect of “Rose Essential Oil” Inhalation on Stress-Induced Skin-Barrier Disruption in Rats and Humans. Chem Senses [Internet]. 2012 May 1 [cited 2019 Apr 18];37(4):347–56. Available from: https://academic.oup.com/chemse/article-lookup/doi/10.1093/chemse/bjr108 42. Komori T, Fujiwara R, Tanida M, Nomura J, Yokoyama MM. Effects of Citrus Fragrance on Immune Function and Depressive States. Neuroimmunomodulation [Internet]. 1995 [cited 2019 Apr 18];2(3):174–80. Available from: https://www.karger.com/Article/FullText/-. Aromatherapy | Definition of Aromatherapy by Merriam-Webster [Internet]. Merriam-Webster. [cited 2019 Apr 18]. Available from: https://www.merriam-webster.com/dictionary/aromatherapy 44. Up Nature. Top 17 Best Essential Oils for Stress and Anxiety [Internet]. Up Nature. 2017 [cited 2019 Apr 18]. Available from: https://upnature.com/blogs/news/top-17-best-essential-oils-for-stress-and-anxiety-and-how-to-use-them 45. Mueller O. 10 Best Essential Oils to Help You Relax and Unwind [Internet]. My US. 2018 [cited 2019 Apr 18]. Available from: https://www.myus.com/blog/essential-oils-to-help-you-relax-after-a-long-day/ 46. The eye and the sense of sight [Internet]. eSchool Today. 2008 [cited 2019 Apr 18]. Available from: https://eschooltoday.com/science/the-five-senses/the-sense-of-sight.html 47. Elliot AJ. Color and psychological functioning: a review of theoretical and empirical work. Front Psychol [Internet]. 2015 Apr 2 [cited 2019 Apr 18];6:368. Available from: http://journal.frontiersin.org/article/10.3389/fpsyg-/abstract 48. Elliot AJ, Maier MA. Color Psychology: Effects of Perceiving Color on Psychological Functioning in Humans. Annu Rev Psychol [Internet]. 2014 Jan 3 [cited 2019 Apr 18];65(1):95–120. Available from: http://www.annualreviews.org/doi/10.1146/annurev-psych-. Elliot AJ, Maier MA. Color and Psychological Functioning. Curr Dir Psychol Sci [Internet]. 2007 Oct [cited 2019 Apr 18];16(5):250–4. Available from: http://journals.sagepub.com/doi/10.1111/j-.x 50. O’Connor Z. Colour psychology and colour therapy: Caveat emptor. Color Res Appl [Internet]. 2011 Jun [cited 2019 Apr 18];36(3):229–34. Available from: http://doi.wiley.com/10.1002/col-. Kida TE. Don’t believe everything you think: the 6 basic mistakes we make in thinking. New York: Prometheus Books; 2006. 52. Bukow (de) S. La magie des couleurs. Se guérir: revue Nouvelles clés; 1995. 53. Duplessis Y, editor. Les Couleurs visibles et non visibles. Monaco: du Rocher; 1984. (L’Esprit et la matière). 54. Lambert-Farage A-M. La thérapie par la couleur. Paris: Guy Trédaniel;- p. 55. Lazorthes G. L’ouvrage des sens: fenêtres étroites sur le réel. Paris: Flammarion;- p. 56. DashBurst. How to Use the Psychology of Colors When Marketing [Internet]. Small Business Trends. 2018 [cited 2019 Apr 18]. Available from: https://smallbiztrends.com/2014/06/psychology-of-colors.html 57. Cherry K. Color Psychology: Does It Affect How You Feel? [Internet]. Very Well Mind. 2019 [cited 2019 Apr 18]. Available from: https://www.verywellmind.com/color-psychology-. Sylvester R. Hospital wards to get the feng shui treatment [Internet]. The Independent. 1998 [cited 2019 Apr 18]. Available from: https://www.independent.co.uk/news/hospital-wards-to-get-the-feng-shui-treatment-.html 59. Wilson EO. Biophilia: the human bond with other species. Cambridge, MA: Harvard University Press;- p. 60. Baldwin AL. How Do Plants in Hospital Waiting Rooms Reduce Patient Stress? J Altern Complement Med [Internet]. 2012 Apr [cited 2019 Apr 18];18(4):309–10. Available from: http://www.liebertpub.com/doi/10.1089/acm-. It takes teamwork [Internet]. [cited 2019 Jul 15]. Available from: https://www.dentaleconomics.com/practice/article/-/it-takes-teamwork 62. Dable, Singh, Nazikar, Prasanth. Is advertising ethical for dentists ? An insight into the Indian scenario. 2011;93–8. 63. Time spent on social media [Internet]. [cited 2019 Jul 16]. Available from: https://www.digitalinformationworld.com/2019/01/how-much-time-do-people-spend-social-media-infographic.html 64. Caltabiano ML, Croker F, Page L, Sklavos A, Spiteri J, Hanrahan L, Choi R. Dental anxiety in patients attending a student dental clinic. BMC Oral Health 2018;1–8. 65. The most relaxing colors [Internet]. [cited 2019 Jul 16]. Available from: https://www.iflscience.com/editors-blog/what-is-the-worlds-most-relaxing-color-a-new-survey-just-found-out/ 66. Sun C, Zhou X, Qin J, Leng H, Lian Z. The effect of indoor plants on human comfort. Indoor and built environ 2015;(September 2013). 67. Of R, Pharmacotherapy D, Malcolm BJ, Tallian K. Essential oil of lavender in anxiety disorders. 2017; 68. Stegemann T, Geretsegger M, Quoc EP, Riedl H, Smetana M. Music Therapy and Other Music-Based Interventions in Pediatric Health Care : An Overview. 2019;1–12. Thank you very much for your time and attention