Clinical study on the management of a patient with chronic traumatic periodontal pain diagnosed as unidentified complaint-pain symptom as qualia-
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- Nakamura Hirokazu
- National Center of Neurology and Psychiatry, Musashi Hospital, Dental branch
Bibliographic Information
- Other Title
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- 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―
- pain symptom as qualia
- クオリアとしての疼痛症状
Abstract
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.
Journal
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- Japanese Journal of Psychosomatic Dentistry
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Japanese Journal of Psychosomatic Dentistry 21 (2), 76-80, 2006
Japanese Society of Psychosomatic Dentistry
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Details 詳細情報について
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- CRID
- 1390001204346294400
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- NII Article ID
- 130004308060
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- ISSN
- 21864128
- 09136681
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed