A clinical experience of various psychotherapies as applied to a mandibular fracture patient treated with intermaxillary anchorage apparatus as postoperative care

A Case report

Abstract

Two mandibular fracture patients visited our clinic near the same time. One (hereafter referred to as “A”) was diagnosed as having a subcondylar fracture. The other (“B”) was diagnosed as having a mandibular body fracture. A was treated with intermaxillary anchorage apparatus, whereas B was not. As days passed, A exhibited symptoms of depression, while B did not. It is suspected that the discomfort brought on by the intermaxillary anchorage apparatus was the cause of the depression. Therefore, A was given various psychotherapies as postoperative care.
Psychotherapies used:
I. Breathing (Modified abdominal breathing)
II. Relaxation
1. Autogenic training ; Formula I & II
2. Jacobson's Progressive Relaxation Method (Wolpe's Modified Method)
III. Cautela's Covert Positive Reinforcement
IV. Hypnosis