心身症と考えられる症例におこなった歯科治療

• 横田 雅実

  小林歯科医院

• 小林 雅文

  日本大学総合科学研究所

書誌事項

タイトル別名

• Oral Therapy of a Case of Apparent Psychosomatic Disease.

抄録

About 10-15% of dental patients have so-called psychosomatic characteristics and, of these, 6-7 % reveal psychosomatic disease, neurosis and depression in close diagnosis.<BR>This study describes a patient with some physical symptoms, identified pathologically and biochemically, and also slight depressive symptoms related to them. This is psychosomatic disease in a narrow sense.<BR>The authors conducted the oral and psychosomatic therapy on this patient for about one year.<BR>The patient was an elderly male, 69 years old in 1999. He had received therapy for enterogastric symptoms, low back pain, diabetes and hypertension at a clinic of internal medicine, involving major drugs but not counseling, for several years.<BR>“In examination, we observed psychosomatic disease accompanied by disturbance of some of body conditions and oral disturbance; 6 2 1 C₃”, chronic suppurative pulpitis, 5 C₂, 4 missing, 3 root canel filled, and 7-4 ill-fitting denture.<BR>The authors started brief psychotherapy 2 - 3 times per month and drug administration (manidipine, antihypertensive drug, and flutoplazepam, psychosomatic stabilizer) from May 1997. Blood pressure became normal and the disturbance of the body condition improved gradually in June. We terminated the administration of manidipine in July because patient was content with the therapy, including antihypertensive treatment by the new doctor of internal medicine who he started visiting from June. Oral treatments were performed: 5preparation for metal crown and 6infected root canal treatment, root canal filling, preparation for metal crown and (6) (2) 4 impression for thermosetting resin facing Au-Pd-crown bridge work, setting of this and gingival tissue conditioning of 7 - 4 in June, July and August, and an impression for 7 - 4 missing denture rebase with setting in September. The only therapy in October and November consisted of internal medicine except for the adjustment of the denture and flutoplazepam administration. Extraction of 2, root canal treatment → root canal filling of 1 and pulp extirpation →root canal filling of 3 I were conducted in December and January 1998, and crown preparations of 3 1, the impression of (3) 2 (1) for thermosetting resin facing Au-Pd-crown bridge work and setting in March.<BR>The patient's general condition, including his psycho-neurotic state, had improved. Brief psychotherapy, once or twice per month, and drug treatment with flutoprazepam have been continued to the present.

収録刊行物

• 日本歯科心身医学会雑誌

  日本歯科心身医学会雑誌 14 (1), 65-70, 1999

  日本歯科心身医学会

キーワード

• 消化器疾患
• 心身安定剤
• リベース

詳細情報

• CRID: 1390001204344795264
• NII論文ID: 130004105490
• DOI: 10.11268/jjpsd1986.14.65
• ISSN: 21864128
• ISSN: 09136681
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可