2019 Volume 18 Issue 1 Pages 5-10
Clinicians administering maxillofacial implant treatment do not have many opportunities to address various problems of the patientsʼ psychological/mental condition. Postoperative complications of patients with oral/maxillofacial disease include chewing disorder, aesthetic disorder, morphological disorder, communication disorder, and dysphagia.
Whether these problems as incentive for the patientsʼ visit will immediately reveal the chief complaint is unclear. At initial interview, patients may not always present the chief complaint immediately. Hence, in daily practice, clinicians may have several opportunities to encounter patients with mental illness.
This study aimed to determine the relationship between physical disability and mental condition in patients with oral/maxillofacial disease who experience postoperative problems.
Among potential factors involved, such as physical disorder, psychological condition, implants treatment, incidental surgery, patientsʼ burden to treatment, support from medical personnel, and supportive care for mental condition, discussions have rarely focused on intention based on awareness and support for the mental state.
However, in the actual clinical setting, providing patients with expected answers is not often possible because of ambiguity in treatment indications, and explanation to patients on the ambiguity of implant treatment may be necessary on a daily basis. Therefore, studies that clarify such issues are important.
In this study, we clarify the cause of mental and physical disorders and determine effective treatment approaches.
Implant treatment from the perspective of complication of oral surgery and the patientsʼ psychological/mental state are discussed through the following questions.(1)In the clinical setting, is it possible to identify patients who are likely to be problematic based on medical interview?(2)How should a therapist respond to the awareness of masked mental condition? or(3)How is collaboration between the implant therapist and psychiatrist or dental psychosomatic expert implemented and can good patient outcomes be expected?