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Zahnheilkunde 1. Jänner 1970

Study on characteristics and treatment orientation of dental patients with mental disorders based on the results of psychiatric medical interview

Introduction In routine clinical dental treatment dentists
have the opportunity to treat patients who may be
suffering from mental disorders. In this study the current
status of dental patients with mental disorders was
examined and a classification of the patients was indicated
and applied.
Methods A total of 135 patients who consulted the
department of Occlusion & Liaison at Kanagawa Dental
College Hospital were investigated in this study. Mental
disorders of the dental patients were determined according
to the diagnostic and statistical manual of mental
disorders 4th text revision (DSM-IV-TR) criteria. The
original patient classification was performed from the
relation of a patient’s main complaint, dental findings
and mental disorders and a new orientation to dental
treatment is presented.
Results The present subjects were 135 patients (18 men,
117 female: mean age 50.4 ± 13.7 years, range 21–80 years,
median 52 years) (Fig. 2) and the number of patients diagnosed
as mental disorders of DSM-IV-TR was 99 out of
135 patients. The categories of mental disorders found in
this study were somatoform disorders, mood disorders,
anxiety disorders, personality disorders, adjustment disorders,
sleep disorders, schizophrenia and delusional
disorders. The Miyaoka-Wake (M-W) classification was
assigned according to the relationship between objective
symptoms and subjective symptoms. Treatment orientation
to the chief complaint was indicated as three
categories, namely, active dental treatment, transitive
dental treatment and negative dental treatment.
Conclusions Patients who consulted the department
of Occlusion & Liaison had a high frequency of mental
disorders. It became clear that patients in the group with
mental disorders were consulting more clinics and hospitals
compared with those in the group with no mental
disorders.
Patients were classified into A, B, C, D and E (M-W
classification) and treatment orientations were reported
according to the chief complaint, i.e. active dental treatment,
transitive dental treatment and negative dental
treatment. This study may be useful for treatment ori

Katsushi Tamaki, Hiroyuki Wake, Goh Kobayashi, Hideo Miyachi, Hitoshi Miyaoka, international journal of stomatology & occlusion medicine 1/2011

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