Outline of Oral Psychosomatic Disorder and Prospects for New Concepts of the Oral Psychosomatic Disorder

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  • Wake Hiroyuki
    Midori Pediatric Dental Clinic Maxillofacial Surgery, Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences
  • Shibuya Tomoaki
    Hitachi Ltd. Keihin Area Occupational Health Administration Center Occupational Dental Health Section
  • Ishigaki Shoichi
    Osaka University Graduate School of Dentistry, Department of Fixed Prosthodontics
  • Yoda Tetsuya
    Maxillofacial Surgery, Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences
  • Komiyama Osamu
    Nihon University School of Dentistry at Matsudo, Department of Crown and Bridge Prosthodontics
  • Yamaguchi Taihiko
    Division of Oral Functional Science, Faculty of Dental Medicine, Hokkaido University
  • Sasaki Keiichi
    Tohoku University Graduate School of Dentistry Division of Advanced Prosthetic Dentistry
  • Matsuka Yoshizo
    Department of Stomatognathic Function and Occlusal Reconstruction Graduate School of Biomedical Sciences, Tokushima University
  • Tsukiyama Yoshihiro
    Section of Dental Education, Division of Interdisciplinary Dentistry, Faculty of Dental Science, Kyushu University
  • Sumi Tadateru
    Department of Clinical Education in General Dentistry, Institute of Biomedical Sciences, Nagasaki University
  • Okayasu Ichiro
    Department of Dental Anesthesiology, Graduate School of Biomedical Sciences, Nagasaki University
  • Shimada Atsushi
    Medical Corporation Green Dental Clinic
  • Tamaki Katsushi
    Division of Prosthodontic Dentistry for Function of TMJ and Occlusion, Kanagawa Dental College
  • Miyaoka Hitoshi
    Kitasato University（Professor Emeritus, Psychiatrist）
  • Kuboki Takuo
    Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Miyachi Hideo
    Kokoro Hospital Machida
  • Suganuma Takeshi
    Division of Temporomandibular Disorders and Orofacial Pain, Department of Special Needs Dentistry, Shool of Dentistry, Showa University

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Other Title
  • 歯科心身症の概要と新概念への展望

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Abstract

<br>Purpose and Method: The definition and concept of the oral psychosomatic disorders is not established. Therefore, we created a “concept of oral psychosomatic disorders（2021）” based on the definition of psychosomatic disorders by the Japanese Society of Psychosomatic Medicine （1991）, ICD-10 （F54）, and DSM-5 （code316）. <br>Conclusion: All diseases should be considered by a bio-psycho-social model. For an oral psychosomatic disorder, psychosocial evaluation and approach are critical, and the following two criteria must be met. <br>1. The physical disease （organic or functional disorder） is present. <br>（Note） Organic disorders include temporomandibular disorders, such as temporomandibular joint disc disorders. On the other hand, the term “functional disorders” is diverse and ambiguous because, it includes glossopharyngeal neuralgia, glossodynia, diseases with a relatively precise pathogenic mechanism and unexplained pathological conditions. Careful discussion is required when considering the kind of pathological conditions that should be included in physical disorders （functional disorders）. <br>2. Psychosocial factors have a significant influence on the onset and course.  （Note） It is not preferable to identify a specific disease as oral psychosomatic disorder, because the degree of the effect of psychosocial factors varies according to the disease, individual patient, and time.

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