The Present Condition, Our View and Treatment Approach of Patients with Uncomfortable Occlusion in Dentistry(<Special Issue>Psychosomatic Medicine in Dentistry and Oral Surgery)

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  • Tamaki Katsushi
    Department of Oral & Maxillofacial Rehabilitation, Kanagawa Dental College:Department of Occlusion & Liaison in Kanagawa Dental Hospital

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  • 歯科における咬合異常感を訴える患者の実態とその考え方,対応(<特集>歯科・口腔外科をめぐる心身医学)
  • 歯科における咬合異常感を訴える患者の実態とその考え方,対応
  • シカ ニ オケル コウゴウイジョウカン オ ウッタエル カンジャ ノ ジッタイ ト ソノ カンガエカタ タイオウ

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As a result of performing psychiatric oral consultation to 182 patients (32 men, 150 women) who visited the Occlusion & Liaison Department of Kanagawa Dental Hospital, 77% of them were diagnosed as psychiatric disorder. Moreover, 84% of the patients who had uncomfortable occlusion were diagnosed as mental disorder, and 70% of the patients who did not complain of uncomfortable occlusion were diagnosed a mental disorder. Among the patients who visit our hospital with uncomfortable occlusion, it has become clear that there is a high possibility that they have not only dental problems but also mental disorders. Talking this fact into consideration, a cautious approach becomes indispensable to the outpatients of dental hospitals. The necessity of closer cooperation between dentistry, psychosomatic medicine and psychiatry needs to be strengthened and the establishment of causal elucidation and treatment from higher brain functions is expected from now on.

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