不定愁訴とされた慢性の外傷性歯根膜痛症例への対応に関する臨床的検討―クオリアとしての疼痛症状―

DOI

書誌事項

タイトル別名
  • Clinical study on the management of a patient with chronic traumatic periodontal pain diagnosed as unidentified complaint-pain symptom as qualia-
  • pain symptom as qualia
  • クオリアとしての疼痛症状

抄録

A 37-year-old male visited a branch clinic complaining of inlays falling out from the right lower first molar and second premolar. The inlays were replaced but he next complained of dental pain in the first molar due to pulpal stimulation by the inlay. This soon subsided but only to revert to a masticatory pain that had been recurring for four years. The dentist categorized this as an “unidentified complaint.”<BR>The author noticed that the symptoms had commenced just after the patient had taken perfenazine. The author suspected that it could, therefore, be a case of traumatic periodontal pain due to abnormal contraction of the masticatory muscles, induced by an extrapyramidal syndrome. It may then have been sustained by the patient's own bruxism after the drug was stopped. The author regarded the symptom as an example of qualia involving not only the sensation of pain but also the patient's negative feelings toward the dentist and traumatic experience at the dentist's hands.<BR>The explanation to the patient of the mechanism of these symptoms and careful listening to his own account of how he felt that the dentist had insulted him had the effect of relieving his symptoms perfectly soon after.

収録刊行物

キーワード

詳細情報 詳細情報について

  • CRID
    1390001204346294400
  • NII論文ID
    130004308060
  • DOI
    10.11268/jjpsd1986.21.76
  • ISSN
    21864128
    09136681
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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