こころと身体全体を見据えた歯科医療

• 豊福 明

  東京医科歯科大学大学院医歯学総合研究科全人的医療開発学系専攻包括診療歯科学講座歯科心身医学分野

書誌事項

タイトル別名

• Can Dentistry follow through with the challenge for medically and psychiatrically unexplained oral symptoms?

抄録

It is not uncommon to see the patients with medically and psychiatrically unexplained oral symptoms. They have been called as "oral psychosomatic disorders (OPSD)" in general practice. And now, there are exactly many patients with OPSD who can't take proper 'dental treatment'. So there is a growing need for managements for them from both sides of dentists and patients. Main psychosomatic treatment is psychopharmacological one with SSRIs (Selective Serotonin Reuptake Inhibitors), SNRIs (Serotonin-Noradrenaline Reuptake Inhibitor), SDAs (Serotonin-Dopamin antagonists) etc. And supportive psychotherapies are applied. Psychosis, as a matter of course, should be treated by psychiatrists, so we have to discriminate them from OPSD, and properly refer to psychiatry. It is important to have identity as a dentist on practice of psychosomatic dentistry. However for proper diagnosis and treatment of OPSD, dentists must have more medical knowledge and prepare for complicated pathophysiology adding to "preexisting dentistry", Because the object of dental practice is not only the oral cavity alone, but rather the whole person with dental problems.

収録刊行物

• 福岡歯科大学学会雑誌

  福岡歯科大学学会雑誌 36 (2), 73-80, 2010-06-30

  福岡歯科大学学会

キーワード

• psychosomatic dentistry
• medically and psychiatrically unexplained oral symptoms
• oral psychosomatic disorders

詳細情報

• CRID: 1570009752639307008
• NII論文ID: 110007682319
• NII書誌ID: AN00216288
• ISSN: 03850064
• Web Site: https://search.jamas.or.jp/link/ui/2010290136
• 本文言語コード: ja
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