Abstract
Patient: The patient was a 49-year-old woman. In the year X-1, she got bruised her face and dislocated her front teeth in a traffic accident. Complaining of these teeth, and pharynx pain and numbness of hands, she was taken to a hospital by ambulance. After the reduction of the front teeth, a CT scan of the head was performed. It was confirmed that there was no problem. A month later, she underwent a pulpectomy of upper right central incisor at the oral surgery in a hospital, and then a pain was reduced. Soon after that, however, her pain was enhanced. She consulted doctors in the otorhinolaryngology besides the cranial nerve surgery. Also, there were no abnormalities in the head MRI examination. After six months, in the year X, she visited our department. The patient was diagnosed with chronic apical periodontitis and suspicion of neuropathic toothache of the upper right central incisor, and then comprehensive medicine using endodontic, kampo medicine, and logotherapy centered listening was carried out. When we practiced comprehensive medicine, we analyzed the patient’s problem using Patient evaluation grid and evaluated her with the passage of time. As a result, the pain was relieved after one year and two months from the first visit.
Discussion: The endodontic and kampo medicine were effective for physical treatment. The logotherapy centered listening was important for the treatment of psychological and social dimensions. It is considered that these methods were effective because it was the treatment after accurately extracting the problem in each dimensions.
Conclusions: Listening to patient, analyzing the state of a patient, setting of treatment goals and over time evaluations were important for the treatment of chronic pain.
