歯科インプラント治療後の“不定愁訴”に関する心身医学的研究

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  • 佐藤 智子
    東京医科歯科大学大学院医歯学総合研究科歯科心身医学分野

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  • A clinical study on unfavorable cases of dental implants from the perspective of psychosomatic dentistry
  • シカ インプラント チリョウ ゴ ノ"フテイ シュウソ"ニ カンスル シンシン イガクテキ ケンキュウ

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Objective: Indefinite oral complaints occurring after surgical implant procedures have come to be seen as difficult problems in accordance with the spread of dental implant treatment. This study investigated the factors which influenced the prognosis of patients with oral psychosomatic disorders who had received implant treatment. Subjects and Methods: The subjects were 107 patients (14 males and 93 females, average age: 60.6 ± 10.7 years) with oral psychosomatic disorders who had visited our clinic. Clinical characteristics were observed retrospectively based on medical charts. According to the treatment outcome, patients were classified into improvement and non-improvement groups. Patients' clinical data were analyzed with logistic regression analysis. Results: The results showed that the following factors were significantly related to prognosis; “burning mouth syndrome”, “implant”, “unknown” as causative problems, and “request for implant removal”. Patients with burning mouth syndrome showed a more favorable prognosis compared with those with atypical odontalgia, phantom bite syndrome, or oral dysaesthesia. As a causative problem, “implant” showed poorer results compared with other factors. With regard to the removal of implants, “request for implant removal” demonstrated the best prognosis, and cases with “execute removal” showed the poorest prognosis. Conclusion: These patients tended to persist in their beliefs of an organic cause, and earnestly desired the removal of implants. It is suggested that introducing psychosomatic approaches without surgical removal may facilitate more favorable results.

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