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ID 116310
Title Alternative
Retrospective chart review of oral somatic delusions
Author
Umezaki, Yojiro Fukuoka Dental College
Miura, Anna Tokyo Medical and Dental University
Shinohara, Yukiko Tokyo Medical and Dental University
Mikuzuki, Lou Tokyo Medical and Dental University
Sugawara, Shiori Tokyo Medical and Dental University
Kawasaki, Kaoru Tokyo Medical and Dental University
Tu, Trang TH Tokyo Medical and Dental University
Suga, Takayuki Tokyo Medical and Dental University
Watanabe, Motoko Tokyo Dental College
Takenoshita, Miho Tokyo Medical and Dental University
Yoshikawa, Tatsuya Tokyo Medical and Dental University
Uezato, Akihito Tokyo Medical and Dental University
Nishikawa, Toru Tokyo Medical and Dental University
Hoshiko, Ken Tokyo Medical and Dental University
Naito, Toru Fukuoka Dental College
Motomura, Haruhiko Tokyo Medical and Dental University
Toyofuku, Akira Tokyo Medical and Dental University
Keywords
oral cenesthopathy
delusional disorder somatic type
DDST
chart review
dentistry
Content Type
Journal Article
Description
Objective: Oral cenesthopathy is characterized by foreign body sensations without medical and dental evidence for them. It is thought to be a rare disease in psychiatry, but many patients are visiting dental clinics seeking treatment to remove a foreign body. Even though the features of oral cenesthopathy might be different between a psychiatric clinic and a dental clinic, there has been no clinico-statistical study from dentists. In this study, we report a clinico-statistical study of patients with oral cenesthopathy in dentistry.
Methods: This is a retrospective chart review of 606 outpatients with oral cenesthopathy in Tokyo Medical and Dental University from April 2010 through to March 2015.
Results: A total of 159 male and 447 female patients were included in this study. The mean age was 62.08 years, and female patients were older than male patients. The trigger of the dental treatment and the acute phase of depression at the onset were significantly related (p=0.037). Only 128 patients (36%) had clinically significant improvement after 6 months of pharmacotherapy. No history of psychiatric disorders (odds ratio [OR] 0.479 [95% confidence interval {CI}: 0.262–0.875], p=0.017) and longer duration of illness (>18 months) (OR 2.626 [95% CI: 1.437–4.799], p=0.002) were significant factors for clinical outcomes.
Conclusion: Patients with oral cenesthopathy in our clinic were predominantly elderly female patients. Dental treatment in the acute phase of depression might be a risk factor for oral cenesthopathy. Therefore, comprehending the situation of psychiatric disorder and obtaining adequate informed consent might be required to prevent the trouble concerning oral cenesthopathy.
Journal Title
Neuropsychiatric Disease and Treatment
ISSN
11782021
Publisher
Dove Medical Press
Volume
14
Start Page
2057
End Page
2065
Published Date
2018-08-13
Rights
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
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language
eng
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departments
Medical Sciences