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

咬み合わせリエゾン診療科に来院した患者182例(男性32例,女性150例)に対して,精神医学的問診を行った結果,精神疾患"あり"に該当する患者が77%であった.また,咬合異常感を訴えている患者では84%が精神疾患に該当し,咬合異常感を訴えていない患者では70%であった.咬合異常感(違和感)を訴えて来院する患者では,歯科的問題だけではなく精神疾患もあわせもって来院する可能性が高いことが明らかになった.したがって,歯科外来においてもこのようことを考慮しながら慎重な対応が不可欠になる.また,今後は歯科と心療内科,精神科との連携意識の強化と高次脳機能からの原因解明と治療法の確立を期待する.

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.