Abstract
This study describes a case of psychogenic pain in the oral and buccal area related to past dental treatment. A 47 year old male had experienced problems due to accidents twice during earlier dental treatment. The first, which happened about 20 years ago, involved the loss of an anterior tooth during extraction of the third molar. No explanation for this was provided by the practitioner. Then, about 10 years ago, acute odontogenic maxillary sinuitis was caused by an infection contracted during root canal treatment. This inflammation was cured by long-term medication with an anti-biotic, but the pain remained even about 10 years later. X-ray photography, the periodontal evaluation and plaque control record were assessed, and the resulting diagnosis was psychogenic pain and moderate periodontitis. The patients psychosocial background was assessed by the Rorschach Test, P-F Study, CMI and MMPI. Several cognitivebehavioral therapies were also arranged for the psychogenic symptoms. After treatment for half a year, the psychogenic pain in the oral and buccal areas had decreased. The periodontal condition was also well maintained by periodontal debridements and oral hygiene instruction.
