日本歯科心身医学会雑誌
Online ISSN : 2186-4128
Print ISSN : 0913-6681
精神科入院下に歯科治療を行った “義歯関連不定愁訴症候群” の1例
中村 広一
著者情報
研究報告書・技術報告書 フリー

1996 年 11 巻 2 号 p. 177-181

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抄録
A 64-year-old woman visited our branch complaining of various physical symptoms combined to bad condition of her dentures. She claimed that the symptoms had appeared after teeth extraction before 16 years. She visited many dental and medical fascilities, but her symptoms was not been cured despite of various treatment. The examination of her dentures could not explain her physical symptoms. The author diagnosed her condition as dentureassociated unidentified clinical syndrome and made a treatment strategy to correct her belief that the physical symptoms were caused with bad condition of her dentures. Under the liaison with psychiatry, new upper denture was constructed and the lower was adjusted. The author was always annoyed with her self-centered personality. Her belief was reinforced with gain from illness. In spite of the improvement of denture retention, stability and occlusion, she continued to complain of various physical symptoms due to her dentures. After several denture adjustments, listennings to her complains were only continued. Ten months after her first visit, meanwhile she complained of aggravation of physical condition, she was convinced to accept her dentures. The author stopped her treatment on the point with mutual understanding. This case showed the necessity of liaison with psychiatry in the treatment of sever denture-associated unidentified clinical symptom.
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© 日本歯科心身医学会
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