Abstract
The patient visited our dental clinic for therapy for ill-fitting upper and lower dentures, a depressive condition and a poor physical state related to her depressive condition. Patient: 50 years old in 1995. House wife.
Chief complaint: Languid feeling. Maladaptation of upper and lower dentures.
History of present illness and status presens: Patient had visited a gynecologist for therapy for menstrual irregularity and a poor physical condition and received drug treatment up to 20th October. Blood pressure standard but caldiopalmus, insomnia, early morning awaking, anorexia and claustrophobia abserved. Patient did not insert upper and lower dentures on defective parts, 7-4/7-4/2-7/4-7
Therapeutic progress: In the first period of therapy (95/7-10), the author administered mianserin, mild antidepressant, and alprazolam, a strong antianxiety drug with antidepressive effects, with counseling. Improvement to some degree in both of psychic and physical states was observed. However, considering the dependency problem of alprazolam, the author replaced it with bromazepam or flutoprazepam, both mild antianxiety drugs, in October. After that, the symptoms worsend again, so alprazolam administration was resumed. Mianserin was changed to maprotiline (a mild antidepressant) in November. The efficacy of this drug treatment worsened again when alprazolam was stopped once more. Counseling was continued. From the first month of the third period (96/2), the author began the administration of amoxapine, a strong antidepressant, instead of maprotiline, and from then the patient maintained good status without alprazolam. Counseling was terminated. The author took an impression of the denture for the upper edentulous part and set it in due course.
