House classification

House classification during diagnosis in dentistry

1. HOUSE CLASSIFICATION PRESENTED BY DR.ROSY SHAH

2. House classification(1937) Based on their Mental attitude , patients can grouped under two classifications. DR.MM House in 1950 classified patient’s psychology into four types, A .Classification 1 Class1 - Philosophical Class2 - Exacting Class3 - Hysterical Class4 - Indifferent B . Classification 2 1.Cooperative2 1. Apprehensive 1. Anxious 2. Frightened 3. Obsessive or exacting 4. Chronic complainer 5. Self- conscious 2.Un cooperative

3. A. Classification 1 1.Class 1- Philosophical WHO presented themselves prior to the extraction of their teeth. Have no experience in wearing denture, and do not anticipate any special difficulties in that regard. This type of patients can be described as easy going, congenial. Mentally well adjusted, co operative and confident of the dentist.

4. 2.Class 2-Exacting This type of patients are precise, above average in intelligence , concerned. In their dress and appearances , usually dissatisfied by their previous treatment. Do not have confidence in their dentist. Its difficult to satisfy them but once they satisfied they become supporter to dentist’s.

5. 3.Class3-Hysterical This type of patient does not want to have any treatment done. They comes out of compulsion from their relative and friends. They have a highly negative attitude to the dentist and the treatment. They have un realistic expectations and want the denture should be better than their natural teeth . They are the most difficult patient to manage.

6. 4. Class4-Indifferent This type of patient are unconcerned about their appearance and feel very little or no necessity for teeth for mastication. Hence, They are uncooperative and will hardly try to become accustomed to denture. They will not maintain the dentures properly and do not appreciate the effort and skill of the dentist.

7. House's classification ( Psychological) Prognosis Class 1: Philosophical Accepts dentist's judgement and instructions, Excellent-Best prognosis. Class 2: Exacting Methodical and demanding, asks a lot of questions, Best- good prognosis. Class 3: Hysterical Emotionally unfit, never happy, Good-poor prognosis. Class 4: Indifferent Doesn't care about dental treatment and gives up easily. Good prognosis.

8. B . Classification 2 1.Cooperative2 These patients represent the optimum group. They may/may not recognize the need for dentures but they are open-minded and are amenable to suggestion. Procedure can be explained with very little effort and they become fully cooperative. 1.Apprehensive Even though these patients realise the need for dentures they have some irrational problem, which cannot be overcome by ordinary explanation. The approach to all of these patients is to talk with them and to make them speak out their thoughts about denture.

9. Apprehensive patients are of different types namely, 1. Anxious These patients are anxious and upset about the un certainities of wearing denture. They often put themselves into a neurotic state. In extreme and rare cases they may be psychotic. 2.Frightened They may fair for the cancer, They fear that they will not be able to wear the teeth. They may fear that the teeth will not look well. Extreme cases should be referred to a psychiatrist.

10. 3.Obsessive or exacting These patients are of exacting nature and are accustomed to giving directions to others . This type of patient is handle firmly . At outside only suppose to tell that would not be allowed to direct the denture construction.

11. 4.Chronic complainers They are a group of people who are habituated fault finding and dissatisfied. It is best to have an understanding with such patients before work commences.

12. 5.Self- conscious It is wise to give overt reassurance to the self- conscious patient and Permit participation in the reconstruction as far as feasible in order to Established some responsibility in the result.

13. 2. Uncooperative This type of patients present themselves usually upon being urgent by relative and friends. They does not feel for dentures, although the need exists. Their general attitude is negative. They constitute an extremely difficult group of potential dentures wears and tax the dentist’s patience to the limit, Most cases ,An attempt to make dentures for these individuals is a waste of time. In this case dentist must collect information about the patient habit , diets , past dental history and the physical characteristics. The expectation of the patient should be taken into consideration to achives patient satisfaction.

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