Psychiatric clinical cases among patients with oral psychosomatic symptoms in the oral region were screened. The diagnosis made after oral surgery was compared with that based on psychiatric interview.
A total of 39 patients who visited the outpatient clinic of the Department of Oral Surgery, Kurume University Hospital participated in this study.
The mean age was 57.5 years old. There were 8 males and 31 females, and the gender ratio was 1: 4.
Diagnoses after oral surgery were glossalgia in 13 cases, TMJ disease in 7 cases, unknown in 9 cases, oral paraesthesia in 8 cases, and halitosis in 2 cases.
Refractory psychosomatic cases were, 18 % for glossalgia, 0.8 % for TMJ disease, 23 % for uncertain, 8 % for oral paraesthesia, and 100 % for halitosis.
TMJ disease had a low percentage in comparison to that of glossalgia in which neurosis and depression comprised almost the same percentage. In TMJ disease and unknown a high ratio of depression and a high ratio of neurosis in oral paraesthesia were noted.
In many refractory psychosomatic patients, treatment by the psychiatric clinic would produce a better outcome.
Consultation with psychiatrists was considered to be useful for treating oral psychosomatic disease.
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