歯科心身症の臨床的検討  当科受診患者における検討

書誌事項

タイトル別名
  • A Clinical Study of Dental Psychosomatic Diseases. Retrospective Assessment of Patients Treated in our Department.
  • Retrospective Assessment of Patients Treated in our Department
  • 当科受診患者における検討

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抄録

We selected 557 cases (3.2%) from among those patients who had visited our department during the past 21 years, and about when it was thought that psychosomatic dental symptoms may have appeared, and conducted a clinical study to analyze their characteristies. The results were as follows:<BR>1. By diagnostic category, patients with xerostomia and glossodynia were most frequent, with the sum of the two groups amouthing to 71.7% of all patients examined.<BR>2. When the cause of xerostomia was examined, only 10 cases (3.9%) were revealed to have marked psychogenic participation at the onset of symptoms.<BR>3. In the treatment of psychogenic xerostomia, a remedy consisting mainly of L-cystein ethylester hydrochloride, a bronchial mucous dissolvent, was fairly effective.<BR>4. Regardery the amount of time that elapsed before the first visit to our department, 57.4%(78 cases) of patients with glossodynia came within one year and 11 cases (8.1%) did not visit until at least five years after onset of the disease.<BR>5. As for family history and background disease in patients with glossodynia, 71 cases (48.6%) had no problem in their family history followed by 23 cases (15.8%) with a family history of cancer. Only 5 cases (3.4%) had a basic psychosomatic disease in the narrow sense.<BR>6. The outcome for patients with glossodynia was evaluated as having been effective in 53.7% of cases ineffective in 9.5%, and indeterminable in 36.8%.<BR>7. An inappropriate dental sharp margin or prosthesis was the most frequent local factor that induced glossodynia, and the grinding of teeth or adjustment of dentures was effective as treatment. When treating xerostomia of psychogenic origin or unknown cause the oral administration of antianxiety drugs and herb treatments consisting mainly of Saibokuto were found to be effective.

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