日本歯科心身医学会雑誌
Online ISSN : 2186-4128
Print ISSN : 0913-6681
統合失調症患者の長期歯科治療上の問題点に関する縦断的検討
中村 広一
著者情報
研究報告書・技術報告書 フリー

2008 年 23 巻 1-2 号 p. 41-45

詳細
抄録

A longitudinal study on the problems encountered with a young female schizophrenia patient during eight years of dental treatment is reported. She first visited our surgery complaining of pain on a left upper molar. She had lost only one tooth at this time. Thirteen teeth were intact, seven were decayed, and eleven had been restored. She continued to demand treatment for pain in various teeth, one after another, but often cancelled her appointments because she felt that her teeth were not being treated properly. Her oral hygiene was very poor. Many teeth had dental caries and eighteen had to be extracted because of advanced decay within three years of her first visit.
She gradually stabilized mentally four years after her first visit and came to want denture treatment. Two sets of dentures were constructed during a half-year period. She rejected the first quickly in a delusional condition. She accepted the second but her attitude towards them fluctuated under the influence of delusion. Today, she accepts them well.
Dental treatment was provided 177 times in 8 years. Twenty-two teeth were extracted and only seven remain. Throughout, the course of treatment has been influenced by her schizophrenic mental disorder and this situation is expected to continue. Dentists do have to pay very close attention to the mental condition of the patient when providing treatment.

著者関連情報
© 日本歯科心身医学会
前の記事 次の記事
feedback
Top