精神分裂病者における歯科診療上の問題点

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  • Problems in the dental treatment of schizophrenic patients.

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Through evaluation of 123 dental patients with schizophrenia, it was shown that 31% of them complained of pain, 18% complained discontent with their denture, while 15% had no chief complaint. Almost half of the diagnoses concerned to teeth and periodontal disease, such as periodontitis or gingivitis, pulpitis, dental caries followed by fracture of dentures and maladaptation of dentures. There was one case of tongue cancer.<BR>In the treatment of these cases, problems were experienced in 48%. Insufficient communication and accessibility was found in 20 cases, and strong anxiety in 20, false confidence in six, and self centered behavior in six.<BR>The dental treatment was completed in 80% of patients. It was terminated in 18 cases (15%), due to problems in the doctor-patient relationship or strong anxiety on the post of the patient.<BR>This evaluation suggested that in the dental treatment of schizophrenic patients the dentist should consider holistic management based on careful comprehension of the patient's complaints. In addition, continuous treatment based on sufficient informed consent and a good doctor-patient relationship are important.

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