歯科心身医学の紹介 : 感覚異常を訴える患者の歯科治療

This paper summarizes the clinical instruction lecture that was held at the meeting of Shikoku Shigakukai on March 22, 2012.
A psychosomatic disorder is usually defined as follows. 1) It is a disorder that is manifested in the patient's body (somatic), 2) the psychosocial factor is connected to the development of symptoms and its progress, and 3) the patient experiences an organic or functional problem.
This definition excludes the physical disability that are experienced along with mental disorder, such as neurosis, depression and schizophrenia.
In the field of clinical dentistry, however, the definition of psychosomatic disorder usually covers a wider range of symptoms than the definition cited above. That is, when patients who suffer from mental disorders such as neurosis, depression and schizophrenia complain of a symptom on the mouth or a maxiro-facial region that is different from common dental problems, then their symptoms are considered "so-called dental-psychosomatic disorder", and generally become the target of treatment.
In the lecture, seven cases of this author's patients were introduced and added some considerations. These patients suffered from the "so-called dental-psychosomatic disorder" .