Abstract
We report a case of a patient treated with comprehensive therapy for panic disorder considered to have been induced by occlusion therapy.
A 73-year-old man, who had elevated blood pressure and atrial fibrillation due to repeated occlusion therapy and temporomandibular disorder, gradually came to think that he might be killed because of the build-up of distrust and fear from previous treatments. He was referred to the pain clinic of our university hospital. We diagnosed his case as panic disorder without agoraphobia, likely to be associated with temporomandibular disorder and occlusal disharmony. We treated him with oriental medicine, using a psychosomatic medical approach together with prosthetic procedure and occlusion therapy for temporomandibular disorder. Takeing the comprehensive approach, logotherapy was also performed as psychosomatic medicine.
Following such treatment, the patients occlusion status has improved and marked pain in the temporomandibular joint has disappeared. His mental condition has also become stable.
